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Pain Ther. 2015 Jun;4(1):33-50. doi: 10.1007/s40122-015-0032-z. Epub 2015 Jan 29.

Skin Matters: A Review of Topical Treatments for Chronic Pain. Part Two: Treatments and Applications.

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Center for Bioethics Pain Management and Medicine, St. Louis, MO, USA,


In Part One of this two-part series, we discussed skin physiology and anatomy as well as generalities concerning topical analgesics. This modality of therapy has lesser side effects and drug-drug interactions, and patients tolerate this form of therapy better than many oral options. Unfortunately, this modality is not used as often as it could be in chronic pain states, such as that from neuropathic pain. Part Two discusses specific therapies, local anesthetics, and other drugs, as well as how a clinician might use specific aspects of a patient's neuropathic pain presentation to help guide them in the selection of a topical agent.

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