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Neurol Neurochir Pol. 2014;48(6):423-35. doi: 10.1016/j.pjnns.2014.11.002. Epub 2014 Nov 16.

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.

Author information

1
Department of Neurology, Jagiellonian University Medical College, Cracow, Poland.
2
Department of Pain Research and Treatment, Jagiellonian University Medical College, Cracow, Poland.
3
Department of Pain Treatment and Palliative Care, Jagiellonian University Medical College, Cracow, Poland.
4
Department of Neurology, Military Institute of Medicine, Warsaw, Poland.
5
Department of Palliative Care, Nicolaus Copernicus University - Ludwik Rydygier Collegium Medicum, Bydgoszcz, Poland.
6
Department of Palliative Care, Karol Marcinkowski University School of Medical Sciences, Poznań, Poland.
7
Department of Pain Treatment and Palliative Care, Jagiellonian University Medical College, Cracow, Poland; Department of Clinical Pharmacology, Jagiellonian University Medical College, Cracow, Poland.
8
Department of Palliative Care and Medicine, Medical University of Silesia, Katowice, Poland.
9
Department of Anesthesiology and Intensive Care, Medical Centre for Postgraduate Education, Warsaw, Poland. Electronic address: lmilewski@post.pl.

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:

Central pain; Complex regional pain syndrome; HIV-associated neuropathic pain; Malignant pain; Neuropathic pain; Painful diabetic polyneuropathy; Persistent post-operative and post-traumatic pain; Post-herpetic neuralgia; Trigeminal neuralgia

PMID:
25482254
DOI:
10.1016/j.pjnns.2014.11.002
[Indexed for MEDLINE]

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