Abstract：
Burn-related chronic neuropathic pain can contribute to a decreased quality of life. When medical and pharmacologic therapies prove ineffective, patients should undergo evaluation for surgical intervention, consisting of a detailed physical examination and elective diagnostic nerve block, to identify an anatomic cause of pain. Based on symptoms and physical examination findings, particularly Tinel\'s sign, treatments can vary, including a trial of laser therapies, fat grafting, or nerve surgeries (nerve decompression, neuroma excision, targeted muscle reinnervation, regenerative peripheral nerve interfaces, and vascularized denervated muscle targets). It is essential to counsel patients to establish appropriate expectations prior to treatment with a multidisciplinary team.
摘要：
烧伤相关的慢性神经性疼痛可导致生活质量下降。当医学和药物治疗证明无效时，患者应接受手术干预评估，包括详细的身体检查和选择性诊断神经阻滞，找出疼痛的解剖学原因.根据症状和体检结果，尤其是Tinel的标志,治疗方法可以有所不同，包括激光治疗的试验，脂肪移植,或神经外科手术（神经减压术，神经瘤切除术,有针对性的肌肉神经支配,再生周围神经界面，和血管化的去神经肌肉目标）。至关重要的是，在多学科团队进行治疗之前，建议患者建立适当的期望。
