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June 3, 2026MedicinaOpen Access

Pectoralis Minor Tenotomy with Occasional Secondary Neurolysis Significantly Reduces Self-Reported Pain and Headaches Across Heterogenous Chronic Pain Disorders of the Upper Limb

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Authors

KSKetan SharmaJFJames Friedman

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Overview

Randomized trial finds significant pain and headache reductions in patients with diverse chronic pain disorders, indicating potential treatment efficacy.

Key Points

  • This research aims to determine the effectiveness of pectoralis minor tenotomy combined with neurolysis in reducing pain and headaches across various chronic upper limb disorders.
  • 318 patients diagnosed with chronic pain disorders underwent pectoralis minor tenotomy and, if needed, secondary neurolysis after 3 months.
  • Clinical outcomes measured included Visual Analogue Scale pain scores, shoulder abduction range of motion, and occurrence of occipital headaches.
  • Patient characteristics were noted with an average age of 51, and follow-up duration was 22 months.
  • Average pain scores decreased from 7.3/10 to 2.1/10 (p < 0.001).
  • Shoulder abduction range of motion improved from 96 to 170 degrees (p < 0.001).
  • Occurrence of occipital headaches decreased from 76.7% to 1.6% (p < 0.001).

Cite This Study

Sharma et al. (2026) studied this question.

synapsesocial.com/papers/6a1fc730dee9eb8c0dce8034https://doi.org/10.3390/medicina62061071
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Also Consider

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