Focused Review Course: Pain Management-Neuropathic Pain

Video Transcription

Video Summary

Neuropathic pain, caused by a lesion or disease of the somatosensory system, can have various descriptions such as burning or electric sensations. It can be centralized or peripheral. Centralized neuropathic pain can be seen in spinal cord injury, central post-stroke pain, or multiple sclerosis, while peripheral neuropathic pain can be seen in conditions like CRPS, diabetic neuropathy, or postherpetic neuralgia. CRPS is a syndrome characterized by chronic pain, tenderness, and vasomotor instability. It can be classified into type 1 (no nerve lesion) or type 2 (caused by nerve damage/injury). There is no gold standard diagnostic test for CRPS, but treatments may include physical therapy, medications, sympathetic blocks, and neurostimulation. Painful peripheral neuropathies can have various causes, such as diabetes, nutritional deficiencies, toxin exposures, genetic disorders, or idiopathic small-fiber neuropathy. Treatment involves addressing the underlying cause and using medications or interventional treatments like nerve blocks or spinal cord stimulators.

Keywords

Neuropathic pain

CRPS

diabetic neuropathy

postherpetic neuralgia

spinal cord stimulators