open access

Vol 48, No 6 (2014)
Review article
Submitted: 2014-09-18
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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

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
DOI: 10.1016/j.pjnns.2014.11.002
·
Neurol Neurochir Pol 2014;48(6):423-435.

open access

Vol 48, No 6 (2014)
Review article
Submitted: 2014-09-18

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.

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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 article
Title

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

Vol 48, No 6 (2014)

Pages

423-435

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

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