neuropathic pain


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neuropathic pain

Pain that originates in peripheral nerves or the central nervous system rather than in other damaged organs or tissues. A hallmark of neuropathic pain is its localization to specific dermatomes or nerve distributions. Some examples of neuropathic pain are the pain of shingles (herpes zoster), diabetic neuropathy, radiculopathy, and phantom limb pain.

Treatment

Drugs like gabapentin or pregabalin provide effective relief of neuropathic pain for some patients. Other treatments include (but are not limited to) regional nerve blocks, selective serotonin and norepinephrine reuptake inhibitors, psychological counseling, acupuncture, transcutaneous electrical nerve stimulation, and physical therapy.

See also: pain
References in periodicals archive ?
Regardless of the cause of neuropathic pain, the same general approach to treatment is taken, though most of the evidence comes from studies of patients with painful diabetic peripheral neuropathy or postherpetic neuralgia, he added.
The Phase III study is a double-blind, placebo controlled, 12-week study, which will randomize approximately 717 adults with diabetic neuropathic pain at up to 80 sites in the US.
In Europe, Qutenza is approved by the European Medicines Agency for the treatment of peripheral neuropathic pain in adults, including post-surgical neuropathic pain, cancer-related neuropathic pain and painful diabetic peripheral neuropathy, either alone or in combination with other pain medicines.
This difference in pathways may explain why in animal models of neuropathic pain cannabinoid receptor agonists last longer compared with morphine.
Spinal Cord Injury (SCI) is a devastating disability known to human kind.1 Despite the fact that SCI is associated with incredible costs and human sufferings, yet exact statistics of SCI are not available in majority of developing countries including Pakistan.2 The only available literature related to SCI in Pakistan is in the form of small single center based retrospective surveys.3-8 Pain is a common complication after SCI with prevalence of 18 to 96%, and almost 30% of these pain are diagnosed as neuropathic pain.9 The intensity of the pain varies amongst these patients and it has been reported that 77.7% of patients with spinal cord injuries have moderate to severe pain.10 Neuropathic pain mostly starts soon after injury and can continue for the rest of the patient's life.
In the present study, we used microarray to search for the differential expression of miRs in mice TGs after CFA injection, and we hypothesized that a post-translational mechanism might exist for NLRP3 inflammasome signaling, regulated by miR-186 in a trigeminal nerve damage mice model, to alleviate neuropathic pain.
Rapamycin forms a complex with the intracellular receptor FKBP12 (12,000 Da immunophilin FK506-binding protein), which binds to the FRB (FKBPl2-rapamycin binding) domain of mTOR to specifically bind and inhibit mTOR activity; therefore, rapamycin is often used as a tool for studying the Akt/mTOR signaling pathway and is widely used in the study of physiological and pathological mechanisms.[13] Therefore, in order to further elucidate the etiology and pathogenesis of neuropathic pain associated with NRTIs, in this study, using stavudine-treated mouse models, we carried out a set of in vivo experiments to address the effects of rapamycin on neuropathic pain and the related mechanisms.
The diagnosis of neuropathic pain was based on the LANNS questionnaire (13).
cantonensis with subsequent eosinophilic meningitis causing severe headache and neuropathic pain, which is likely both central and peripheral in origin.
Similar to other diseases of the nervous system, neuropathic pain appears to be amenable to stem cell therapy [19-21].
Neuropathic pain is defined as pain arising as a direct consequence of a lesion or disease that affects the somatosensory system at either peripheral or central level [1-3].