Neuropathic Pain

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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.

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== Sub Heading 1 == Definition

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

== Sub Heading 2 == Cause

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"

== Sub Heading 3
== 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

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

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