Facial Pain 2 Flashcards
what is neuropathic pain
the patient has damaged the nerve so the patient has no injury where the pain is but the pain is there
what type of nerve does neuropathic pain affect
nerves which go from the periphery to the centre
give some times of neuropathic pain
post herpetic neuralgia
low back pain
polyneuropathy
stroke pain
what are the signs of neuropathic pain
constant burning/aching pain
fixed location
often fixed intensity
what is usually the cause of neuropathic pain
an injury to the nerve
what kind of treatment makes neuropathic pain worse
surgery as it damages the nerve even more
what topical medicines can be used for neuropathic pain
capsaicin
EMLA
benzydamine
ketamine
what systemic medications can be used for neuropathic pain
pregabalin
gabapentin
tricyclics
duloxetine
valproate
mirtazapine
opioid analgesics
what is a side effect of pregabalin and gabapentin
cognitive thinking is not as easy
what physical methods can help with neuropathic pain
TENS
acupuncture
what psychological methods can help with neuropathic pain
distraction
correction of abnormal illness behaviour
improving self esteem
what is atypical odontalgia
dental pain without dental pathology
what does atypical odontalgia present like
pain free or mild between episodes
intense unbearable pain for 2-3 weeks and settles spontaneously
what should you do with a patient with suspected atypical odontalgia
refer
