Neuropathic Pain Flashcards
What are the sensations in neuropathic pain?
Numbness Tingling Burning Paresthesia Paroxysmal Lancinating Electric shock Raw skin Shooting Deep and dull ache
Alldoynia
Hyperalgesia
What are the causes for neuropathic pain?
Peripheral
Polyradiculopathy Alcoholic polyneuropathy Entrapment neuropathy Compression neuropathy Diabetic neuropathy Phantom limb Post herpetic neuralgia Trigeminal neuralgia
Central
Compressive myelopathy HIV myelopathy MS Parkinson’s Stroke
What are the treatment options for neuropathic pain?
Trigeminal neuralgia
Carbamazepine
Diabetic neuropathy
Pregabalin
Post herpetic neuralgia
Gabapentin
Pregabalin
Post stroke and HIV myelopathy
Lamotrigine
What is pain?
Unpleasant sensory and emotional experience
Associated with actual or potential tissue damage
Or described in terms of such damage
Caused by physical, emotional and psychological factors
What is the pain pathway?
Noxious stimulus
Nociceptors transducer
C and A delta fibers
Glutamate
2nd order neurons
Lateral spinothalamic tract
Thalamus 3rd order neurone
Sensory cortex