Neuropathic Pain Flashcards
1
Q
Causes of neuropathic pain
A
Shingles Nerve damage from surgery Multiple sclerosis Diabetic neuralgia typically affecting the feet Trigeminal neuralgia Complex regional pain syndrome
2
Q
Features of neuropathic pain
A
Burning Tingling Pins and needles Electric shock Loss of sensation
3
Q
What questionnaire is used to score neuropathic pain
A
DN4
4+ = neuropathic pain
4
Q
Management of neuropathic pain
A
Amitriptyline - TCA
Duloxetine - SNRI
Gabapentin - anticonvulsant
Pregabalin - anticonvulsant
Other options:
- tramadol- rescue for short term control of flares
- physiotherapy for strength
- psychological input
5
Q
Management of trigeminal neuralgia
A
Carbamazepine
6
Q
Complex regional pain syndrome
A
Abnormal nerve functioning causing abnormal sensations
Usually isolated to 1 limb
Area can be:
- painful
- hypersensitive
- intermittent swelling
- change of colour
- change of temperature
- flush with blood
- abnormal sweating
