Neuropathic Pain: Difference between revisions

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'''''Bold text''''[Italic text]
'''''Bold text''''[Italic text]
== [[File:Headline text]][[Media:[[File:Example.ogg]][[File:[[File:Example.jpg]]]]]] ==
== [[File:Headline text]][[Media:[[File:Example.ogg]][[File:[[File:Example.jpg]]]]]] ==itbox">Welcome to [[PPA Pain Project]]. This page is being developed by participants of a project to populate the Pain section of Physiopedia.  The project is supervised and co-ordinated by the [[The Physiotherapy Pain Association]].  
'''''<div class="noeditbox">Welcome to [[PPA Pain Project]]. This page is being developed by participants of a project to populate the Pain section of Physiopedia. &nbsp;The project is supervised and co-ordinated by the [[The Physiotherapy Pain Association]].  
*Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!! &nbsp;  
*Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!! &nbsp;  
*If you would like to get involved in this project and earn accreditation for your contributions, [mailto:[email protected] please get in touch]!
*If you would like to get involved in this project and earn accreditation for your contributions, [mailto:[email protected] please get in touch]!
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'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} &nbsp;  
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== Sub Heading 1  == Definition
== Definition ==
   
   
Complex type of pain initiated or caused by a primary lesion or dysfunction in the nervous system (IASP, 2012).
Complex type of pain initiated or caused by a primary lesion or dysfunction in the nervous system (IASP, 2012).


== Sub Heading 2 == Cause
== Cause ==


Damage can be caused by trauma, surgery or disease processes including diabetes,infection (eg  after shingles infection - post-herpetic neuralgia) and cancer.  
Damage can be caused by trauma, surgery or disease processes including diabetes,infection (eg  after shingles infection - post-herpetic neuralgia) and cancer.  
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== Sub Heading 3<br> == Assessment
==  Assessment ==


Examination of a Patient with Peripheral Neuropathic Pain shows a real patient with multiple mononeuropathy due to isolated peripheral nervous system vasculitis. He is suffering from neuropathic pain in his left hand and both legs. Functional assessment and sensory and motor examination of both upper and lower limbs is demonstrated
Examination of a Patient with Peripheral Neuropathic Pain shows a real patient with multiple mononeuropathy due to isolated peripheral nervous system vasculitis. He is suffering from neuropathic pain in his left hand and both legs. Functional assessment and sensory and motor examination of both upper and lower limbs is demonstrated
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Ref : http://www.aci.health.nsw.gov.au/__data/assets/pdf_file/0014/212900/DN4_Assessment_Tool.pdf
Ref : http://www.aci.health.nsw.gov.au/__data/assets/pdf_file/0014/212900/DN4_Assessment_Tool.pdf
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Add text here...


== References  ==
== References  ==

Revision as of 03:29, 8 September 2014

Bold text'[Italic text] == File:Headline text[[Media:File:Example.ogg[[File:Example.jpg]]]] ==itbox">Welcome to PPA Pain Project. This page is being developed by participants of a project to populate the Pain section of Physiopedia.  The project is supervised and co-ordinated by the The Physiotherapy Pain Association.

  • Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!  
  • If you would like to get involved in this project and earn accreditation for your contributions, please get in touch!

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Definition[edit | edit source]

Complex type of pain initiated or caused by a primary lesion or dysfunction in the nervous system (IASP, 2012).

Cause[edit | edit source]

Damage can be caused by trauma, surgery or disease processes including diabetes,infection (eg after shingles infection - post-herpetic neuralgia) and cancer.

Has a peripheral origin and may develop central sensitization but "primary afferent input is critical for maintaining neuropathic pain in peripheral nerve injury and distal polyneuropathy"


Assessment[edit | edit source]

Examination of a Patient with Peripheral Neuropathic Pain shows a real patient with multiple mononeuropathy due to isolated peripheral nervous system vasculitis. He is suffering from neuropathic pain in his left hand and both legs. Functional assessment and sensory and motor examination of both upper and lower limbs is demonstrated

File:Http://www.youtube.com/watch?v=MJxeI a04Xc


DN4 – QUESTIONNAIRE Assists with neuropathic pain assessment

Use when neuropathic pain is suspected.

What to do • Interview questionnaires and physical tests. • If score ≥ 4, consider anti-neuropathic medication

Ref : http://www.aci.health.nsw.gov.au/__data/assets/pdf_file/0014/212900/DN4_Assessment_Tool.pdf Add text here...

References[edit | edit source]

International Association for the Study of Pain(lASP) http://www.iasp-pain.org/

Haroutounian S, Nikolajsen L, Bendtsen TF, Finnerup NB, Kristensen AD, Hasselstrøm JB, & Jensen TS (2014). Primary afferent input critical for maintaining spontaneous pain in peripheral neuropathy. Pain, 155 (7), 1272-9 PMID: 24704366

http://www.aci.health.nsw.gov.au/__data/assets/pdf_file/0014/212900/DN4_Assessment_Tool.pdf