Neuropathic pain: Introduction. Assessing, diagnosing and managing neuropathic pain. Neuropathic pain (NP) develops as a consequence of a lesion or disease affecting the somatosensory pathways in the peripheral or central nervous system, and occurs in many neurological diseases (eg, peripheral neuropathy, radiculopathy, spinal cord injury, stroke and multiple sclerosis). Your doctor will take a medical history and do a physical exam. Examples of neuropathic pain include painful polyneuropathy, postherpetic neuralgia, trigeminal neuralgia, and post-stroke pain. Neuropathic pain: Introduction. Once the history suggests a possible diagnosis of neuropathic pain, tools such as toothpicks, brushes or cotton wool can be used in a clinical examination to detect clinically consistent sensory changes that help further differentiate neuropathic from non-neuropathic pain. Other symptoms include numbness, weakness or altered sensation anywhere along the path the nerve travels.

18 April, 2006 Pain is a universal experience and the most frequent reason that people access healthcare services (Waddell, 1998).

Neuropathic pain is suggested by its typical symptoms when nerve injury is known or suspected.

Diagnosis of Neuropathic Pain in Dogs When you bring your dog to the clinic, be prepared to discuss with the veterinarian a complete history of your dog’s past and present experiences. #### Summary points Neuropathic pain arises from damage, or pathological change, in the peripheral or central nervous system. Drugs Used to Treat Neuropathic Pain The following list of medications are in some way related to, or used in the treatment of this condition. Neuropathic pain develops as a result of lesions or disease affecting the somatosensory nervous system either in the periphery or centrally.

Gilron I(1), Baron R(2), Jensen T(3). For neuropathic pain, clinicians look for an underlying lesion to the nervous system or an inciting cause consistent with the development of neuropathic pain. Grading system for neuropathic pain diagnosis. It is usually a chronic condition that can be difficult to treat because standard treatment with conventional analgesics does not typically provide effective relief of pain. Your doctor will then try to find the underlying cause of the neuropathy and then trace the symptoms. Intercostal neuralgia is a painful condition involving the area just under your ribs. Neuropathic pain (nerve pain) symptoms include a stabbing, aching, burning, tingling, or prickling pain in the feet, legs, or upper extremities. For some, it can feel like mildly bothersome pins and needles. A pinched nerve can occur at a number of sites in your body.

This type of pain is typically short-lived and usually quite responsive to common pain medications in contrast to neuropathic pain.

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