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Diagnosis and management of neuropathic pain: Review of literature and recommendations of the Polish Association for the Study of Pain and the Polish Neurological Society – Part Two
Affiliations- Department of Neurology, Jagiellonian University Medical College, Krakow, Poland
- Department of Pain Research and Treatment, Jagiellonian University Medical College, Cracow, Poland
- Department of Pain Treatment and Palliative Care, Jagiellonian University Medical College, Cracow, Poland
- Department of Neurology, Military Institute of Medicine, Warsaw, Poland
- Department of Palliative Care, Nicolaus Copernicus University – Ludwik Rydygier Collegium Medicum, Bydgoszcz, Poland
- Department of Palliative Care, Karol Marcinkowski University School of Medical Sciences, Poznań, Poland
- Department of Clinical Pharmacology, Jagiellonian University Medical College, Cracow, Poland
- Department of Palliative Care and Medicine, Medical University of Silesia, Katowice, Poland
- Department of Anesthesiology and Intensive Care, Medical Centre for Postgraduate Education, Warsaw, Poland
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Abstract
Neuropathic pain may be caused by a variety of lesions or diseases of both the peripheral and central nervous system. The most common and best known syndromes of peripheral neuropathic pain are painful diabetic neuropathy, trigeminal and post-herpetic neuralgia, persistent post-operative and post-traumatic pain, complex regional pain syndrome, cancer-related neuropathic pain, HIV-related neuropathic pain and pain after amputation. The less common central pain comprises primarily central post-stroke pain, pain after spinal cord injury, central pain in Parkinson disease or in other neurodegenerative diseases, pain in syringomyelia and in multiple sclerosis.
A multidisciplinary team of Polish experts, commissioned by the Polish Association for the Study of Pain and the Polish Neurological Society, has reviewed the literature on various types of neuropathic pain, with special focus on the available international guidelines, and has formulated recommendations on their diagnosis and treatment, in accordance with the principles of evidence-based medicine (EBM). High quality studies on the efficacy of various medicines and medical procedures in many neuropathic pain syndromes are scarce, which makes the recommendations less robust.
Abstract
Neuropathic pain may be caused by a variety of lesions or diseases of both the peripheral and central nervous system. The most common and best known syndromes of peripheral neuropathic pain are painful diabetic neuropathy, trigeminal and post-herpetic neuralgia, persistent post-operative and post-traumatic pain, complex regional pain syndrome, cancer-related neuropathic pain, HIV-related neuropathic pain and pain after amputation. The less common central pain comprises primarily central post-stroke pain, pain after spinal cord injury, central pain in Parkinson disease or in other neurodegenerative diseases, pain in syringomyelia and in multiple sclerosis.
A multidisciplinary team of Polish experts, commissioned by the Polish Association for the Study of Pain and the Polish Neurological Society, has reviewed the literature on various types of neuropathic pain, with special focus on the available international guidelines, and has formulated recommendations on their diagnosis and treatment, in accordance with the principles of evidence-based medicine (EBM). High quality studies on the efficacy of various medicines and medical procedures in many neuropathic pain syndromes are scarce, which makes the recommendations less robust.
Keywords
Neuropathic pain, Post-herpetic neuralgia, Complex regional pain syndrome, Trigeminal neuralgia, Painful diabetic polyneuropathy, Persistent post-operative and post-traumatic pain, Malignant pain, HIV-associated neuropathic pain, Central pain
About this articleTitle
Diagnosis and management of neuropathic pain: Review of literature and recommendations of the Polish Association for the Study of Pain and the Polish Neurological Society – Part Two
Journal
Neurologia i Neurochirurgia Polska
Issue
Article type
Review Article
Pages
423-435
Page views
946
Article views/downloads
816
DOI
10.1016/j.pjnns.2014.11.002
Bibliographic record
Neurol Neurochir Pol 2014;48(6):423-435.
Keywords
Neuropathic pain
Post-herpetic neuralgia
Complex regional pain syndrome
Trigeminal neuralgia
Painful diabetic polyneuropathy
Persistent post-operative and post-traumatic pain
Malignant pain
HIV-associated neuropathic pain
Central pain
Authors
Andrzej Szczudlik
Jan Dobrogowski
Jerzy Wordliczek
Adam Stępień
Małgorzata Krajnik
Wojciech Leppert
Jarosław Woroń
Anna Przeklasa-Muszyńska
Magdalena Kocot-Kępska
Renata Zajączkowska
Marcin Janecki
Anna Adamczyk
Małgorzata Malec-Milewska
