Table 1.
Types of neuropathic pain | Examples | Management |
---|---|---|
Sympathetic neuropathic pain | CRPS types I and II | Physiologic therapiesgroup therapy, individual therapy.MedicationsAnticonvulsants:Gabapentin, carbamazepine, valproate, clonazepam.Antidepressants:Tricyclic antidepressants (nortriptyline and amitriptyline), serotonin selective reuptake inhibitors, serotonin-norepinephrine reuptake inhibitors, norepinephrine-dopamine reuptake inhibitors.Opioids:Oxycodone, hydrocodone/acetaminophen, oxycodone/acetaminophen, tramadol, morphine sulfate controlled release, oxycodone hydrochloride controlled release tablets, hydromorphone, methadone.Topical analgesics:Lidocaine patch, capsaicinInterventionsSympathetic blocks, epidural and transformational steroid injections, spinal cord stimulators, peripheral nerve stimulators, intrathecal pumps.Physical and alternative therapiesMassage therapy, acupuncture, nutritional counseling.Mirror therapyPhantom limb pain and complex regional pain syndrome only. |
Peripheral neuropathic pain | Postherpetic neuralgiaTrigeminal neuralgiaChemotherapy-induced peripheral neuropathyDiabetic peripheral neuropathy | |
Central neuropathic pain | Phantom limb painPoststroke painPain from spinal cord injuries |
CRPS: complex regional pain syndrome.