Neuropathic pain Flashcards
1
Q
What can cause neuropathic pain?
A
- post-herpetic neuralgia - from shingles in a dermatomal distribution
- nerve damage from surgery
- multiple sclerosis
- diabetic neuralgia (mainly affecting the feet)
- trigeminal neuralgia
- complex regional pain syndrome
2
Q
What are the descriptive features of neuropathic pain?
A
- burning
- tingling
- pins and needles
- electric shocks
- loss of sensation to touch the affected area
3
Q
What questionnaire is used to assess for neuropathic pain?
A
DN4 questionnaire
4
Q
What are the 4 main medications used for neuropathic pain?
A
- amitriptyline
- duloxetine
- gabapentin
- pregabalin
5
Q
What medication is used for trigeminal neuralgia?
A
Carbamazepine
6
Q
What is trigeminal neuralgia?
A
Chronic pain characterised by severe shooting or stabbing pain in the distribution of one or more divisions of the trigeminal nerve
7
Q
What can cause trigeminal neuralgia?
A
- idiopathic
Can be secondary to - malignancy
- multiple sclerosis
- sarcoidosis
- lyme disease
