Multiple Sclerosis Community
Treating Neuropathic Pain And The Neuropathic Pain Patient
About This Community:

Our Patient-to-Patient MS Forum is where you can communicate with other people who share your interest in Multiple Sclerosis. This forum is not monitored by medical professionals.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

Treating Neuropathic Pain And The Neuropathic Pain Patient

Came across this well written paper that I thought some of you might find interesting.  It's long, below is the abstract only.  It looks like it was first published 10 years ago.  Interestingly - and frustratingly - it seems not much has changed in terms of drug options.  Go to the URL for the entire document.

http://www.myelitis.org/pain.htm

Treating Neuropathic Pain And The Neuropathic Pain Patient
John T. Farrar, MD, MSCE

Departments of Anesthesiology, Neurology, and Epidemiology, the Center for Clinical Epidemiology and Biostatistics, the University of Pennsylvania Cancer Center, Philadelphia, Pennsylvania.

Correspondence: John T. Farrar, MD, MSCE Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania, 423 Guardian Drive, Blockley Hall, Room 816, Philadelphia, Pennsylvania.


--------------------------------------------------------------------------------

Abstract

Neurologists have the option of choosing from among numerous drugs and drug classes when treating neuropathic pain. The challenge, therefore, lies not in having limited options for treatment, but in the art of practicing medicine, i.e., of identifying neuropathic pain and empathizing with the patient without the benefit of either an objective test or a complete understanding of pain pathophysiology, and providing the best evidence-based options for therapy. The International Association for the Study of Pain definition of pain - a sensory and emotional experience, signaling actual or potential tissue damage - illustrates the dual nature, both objective and subjective, of this condition. The neurologist's unique understanding of the complex interactions that occur in the nervous system can provide a significant contribution to the care of patients with pain.

Additionally, we must remember that many patients, unable to quantitatively describe their pain and witnessing the medical community's lack of codified remedies, leave the physician's office thinking that the practitioner views their pain, even when incapacitating, as psychosomatic. An equally important role of the practicing neurologist, therefore, is to acknowledge the patient's experience of pain without attempting to validate its source. This article includes strategies for approaching a neuropathic pain patient, useful methods to treat the whole patient, and a discussion of why a holistic approach is important. An overview of the pharmacotherapies available for the treatment of neuropathic pain and their role in treating the whole patient is also provided.

Copyright 2001 Galen Publishing, LLC. First published in the September 2001 issue of Advanced Studies in Medicine, New Developments in the Management of Migraine and Neuropathic Pain (Volume 1, Number 6: 241-247), www.ASIMCME.com.



Related Discussions
Post a Comment
To
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
Multiple Sclerosis Community Resources
RSS Expert Activity
242532_tn?1269553979
Blank
Emotional Eating Control: How to St...
Aug 28 by Roger Gould, M.D.Blank
233488_tn?1310696703
Blank
New Cannabis Article from NORTH Mag...
Jul 20 by John C Hagan III, MD, FACS, FAAOBlank
242532_tn?1269553979
Blank
3 Reasons Why You are Still Binge E...
Jul 14 by Roger Gould, M.D.Blank
Top Neurology Answerers
147426_tn?1317269232
Blank
Quixotic1
Washougal, WA
667078_tn?1316004535
Blank
HVAC
Durham, NC
1831849_tn?1383231992
Blank
kwarendorf
Great Neck, NY
338416_tn?1260996698
Blank
jensequitur
Fort Worth, TX
572651_tn?1333939396
Blank
Lulu54
Dayton, OH
Avatar_f_tn
Blank
essdipity