What are some assessment and screening tools available specifically for neuropathic pain? Aside from determining a numeric pain score for severity of pain, there are many validated neuropathic pain assessment tools used to aid in diagnosis and assess response to treatment, including the Neuropathic Pain Questionnaire (NPQ), PainDetect, the Neuropathic Pain Symptom Inventory (NPSI), IDpain, …
Common Neuropathic Pain Syndromes Common Neuropathic Pain Syndromes CENTRAL NEUROPATHIC PAIN STATES PERIPHERAL NEUROPATHIC PAIN STATES MIXED NEUROPATHIC STATES Compressive myelopathy (spinal stenosis) Painful diabetic peripheral neuropathy Postherpetic neuralgia Poststroke pain HIV-associated neuropathy Complex regional pain syndrome type 2 Posttraumatic spinal cord injury Radiculopathy — HIV myelopathy Entrapment neuropathies (e.g., carpal tunnel) — Postischemic myelopathy …
What are the differences between central and peripheral neuropathic pain? While central neuropathic starts with a process in the CNS, the peripheral nervous system can impact and modify the pain, as patients may have allodynia and hyperalgesia and note that some types of touch or stimulus of the body can lessen pain. Similarly, while damage …
Differences between central and peripheral neuropathic pain Read More »
What is peripheral neuropathic pain? In peripheral neuropathic pain, the initiating lesion is located outside of the CNS—in the periphery. A classic example is painful peripheral diabetic neuropathy, in which there is confirmed damage to the peripheral nerves in the hands or feet. While the initiating problem is in the periphery, peripheral neuropathic pain is …
What is central neuropathic pain? Central neuropathic pain is pain caused by a lesion of the CNS—typically the brain or spinal cord. Examples are pain following stroke, pain associated with disease of the CNS such as multiple sclerosis or Parkinson’s disease, plexus avulsion, or pain associated with spinal cord injury (SCI). The pain may develop …
What is neuropathic pain? Neuropathic pain is “pain caused by a lesion or disease of the somatosensory nervous system.” A lesion refers to an abnormality that is evidenced by diagnostic tests (e.g., imaging, neurophysiologic studies, biopsies) or a known trauma to the nervous system. The term “disease” refers to lesions from a known underlying cause …
What is pain catastrophizing? Pain catastrophizing is a negatively distorted perception of pain as awful, horrible, and unbearable. It is strongly associated with depression and pain. Functional magnetic resonance imaging (fMRI) has shown that pain catastrophizing is independently associated with increased activity in areas related to anticipation of pain, attention to pain, and emotional aspects …