Leprosy Mailing List – September 10 , 2013
Ref.: (LML) Pressure Specified Sensory Device sensory testing in leprosy
From: James Wilton, Portland, Maine, USA
Dear Dr. Schreuder,
I direct a surgical team that performs upper and lower extremity peripheral nerve decompression and neurolysis procedures on Hansen’s patients in Ecuador. Our team has been going to South America since 2002. We will be coming out with 3 papers on our medical diagnosis and surgical management of these patients. One of our previous publications has been: Seiler DK, Wilton J, Dellon AL. Detection of neuropathy due to Mycobacterium leprae using non-invasive neurosensory testing of susceptible peripheral nerves. Ann Plast Surg 2005 Dec;55(6):633-7.
In addition to clinical neurological examination we use Pressure Specified Sensory Device (PSSD) sensory testing. We identified 25 patients in the field who have Hansen’s disease but were not identified by the local medical systems as being positive. This non invasive technology may be promising in the very early detection of Hansen’s disease in the field.
Sincerely,
James Wilton
Dr. James P. Wilton
Lower Extremity Peripheral Nerve Surgery
New England Foot and Ankle Specialists
A Division of Mercy Hospital, 195 Fore River Parkway, Suite #210,
Portland, ME, 04102
207-553-6681-Work
207-553-6682-Fax
JPWilton@gmail.com
WiltonJ@MercyMe.com
p/s Note editor:
Neurosensory testing is a non-invasive technique for assessing nerve damage by measuring the pressure threshold felt in the skin. By testing an area of the skin that corresponds to a specific nerve, the extent of nerve damage can be determined by the amount of pressure needed for a person to feel the touch of the testing device. The Pressure Specified Sensory Device (PSSD), is used to make these measure-ments of pressure threshold. This device consists of two blunt probes and sensitive transducers to measure pressure without causing pain to the person being tested (Copyright 2011 Bone and Joint Medical Center, P.C)
LML - S Deepak, B Naafs, S Noto and P Schreuder
LML blog link: http://leprosymailinglist.blogspot.it/
Contact: Dr Pieter Schreuder << editorlml@gmail.com
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