neuropathic%20pain
NEUROPATHIC PAIN
Neuropathic pain is the sensation of pain due to abnormal discharges of impaired or injured neural structures in the peripheral &/or central nervous system.
It is characterized by hyperesthesia, hyperalgesia and allodynia.
Common neuropathic pain syndromes are central neuropathic pain, painful diabetic peripheral neuropathy, postherpetic neuralgia, trigeminal neuralgia, postsurgical neuropathic pain, HIV-related neuropathy, lumbosacral radiculopathy and complex regional pain syndrome.

Neuropathic%20pain Patient Education

Patient Education

Central Neuropathic Pain

  • The patient should be given adequate information regarding central neuropathic pain including its underlying cause
  • If the patient suffers from allodynia, application of a protective layer (eg cling film) between the skin and clothing may helpful

Painful Diabetic Peripheral Neuropathy

  • The patient should be educated about diabetic peripheral neuropathy, support should be given and expected outcomes should be reviewed
    • Review mechanisms of neuropathic pain, providing information on what is currently known and unknown
  • Assist patient with practical measures (eg bed cradle to lift bedclothes off of sensitive skin)
  • Patient should be made aware of how important optimal glycemic control is
    • Glycemic control near normoglycemia may help slow or prevent the development of peripheral neuropathy and other complications (eg retinopathy, nephropathy, etc)
  • Patients should be counseled on how to optimize their glycemic control
    • Proper diet, oral antidiabetics and insulin use
    • Glucose monitoring, etc
  • Help patient understand that complete pain relief may not be achieved despite best efforts of patient or physician
  • Inform patients of possible adverse effects from medications and any potential for abuse or development of tolerance

Postherpetic Neuralgia

  • The patient should be given adequate information and explanation regarding postherpetic neuralgia; this may help alleviate anxiety about the disorder
  • Educate about treatment side effects
  • It is important that the patient try to maintain social and physical activities

Trigeminal Neuralgia

  • Inform patient about the available treatment options and the expected outcomes
Editor's Recommendations
Most Read Articles
01 Dec 2020
Tetanus toxoid 5 Lf, diphtheria toxoid 2 Lf, pertussis toxoid 2.5 mcg, filamentous haemagglutinin 5 mcg, fimbriae types 2 and 3 5 mcg, pertactin 3 mcg
Dr. Hsu Li Yang, Dr. Tan Thuan Tong, Dr. Andrea Kwa, 08 Jan 2021
Antimicrobial resistance has become increasingly dire as the rapid emergence of drug resistance, especially gram-negative pathogens, has outpaced the development of new antibiotics. At a recent virtual symposium, Dr Hsu Li Yang, Vice Dean (Global Health) and Programme Leader (Infectious Diseases), NUS Saw Swee Hock School of Public Health, presented epidemiological data on multidrug-resistant (MDR) gram-negative bacteria (GNB) in Asia, while Dr Tan Thuan Tong, Head and Senior Consultant, Department of Infectious Diseases, Singapore General Hospital (SGH), focused on the role of ceftazidime-avibactam in MDR GNB infections. Dr Andrea Kwa, Assistant Director of Research, Department of Pharmacy, SGH, joined the panel in an interactive fireside chat, to discuss challenges, practical considerations, and solutions in MDR gram-negative infections. This Pfizer-sponsored symposium was chaired by Dr Ng Shin Yi, Head and Senior Consultant of Surgical Intensive Care, SGH.
Jairia Dela Cruz, 23 hours ago
Spending too much time sitting cannot be good for the body, and rising to one's feet breaks up such a behaviour and yields small, but meaningful, reductions in certain cardiovascular disease (CVD) risk factors, according to the results of a meta-analysis.
5 days ago
Daily intake of cow’s milk formula in early life helps prevent the development of cow’s milk allergy later on without competing with breastfeeding, a recent study has found.