Neuropathic pain is the outcome of an wound or malfunction in the peripheral or central nervous system . tissue paper injury includes impairment of pain receptors , nerve fibre carrying pain sensation from peripheral receptors to spinal nerves ( neurons ) . Also chronic neuropathic pain sensation is end solution of malfunction of spinal nerves carrying pain impulse to brain . Deteriorating pain in the neck send system become nonadaptive and sends faulty signals to other pain centers . Causes and pathophysiology of neuropathic pain is not yet dig for prevention . “ Windup possibility ” and NMDA receptor changes at peripheral receptors and within spinal cord is been investigate in detail . Immune response and immune complex were discovered in creature report at and near peripheral nerve sensory receptor and injure tissue . Immune complex were observed in peripheral tissues with neuropathic pain in the neck . Immunotherapy may be future intervention selection if drive is establish .
Neuropathic pain is either lowly to cancer or non cancer etiology .
Epidemiologic Studies : Epidemiological bailiwick have revealed play along Incidence and Prevalence of Chronic Pain
Classification and Types of Chronic Neuropathic Pain
Chronic Cancer Neuropathic Pain
Chronic Non Cancer Neuropathic Pain
Pathophysiology of Chronic Neuropathic Pain
Pathophysiology Of Chronic Neuropathic Pain Secondary To Cancer:
Pathophysiology Of Chronic Neuropathic Pain Caused By Non-Cancer Pathology:
After tissue injury healing results into scar tissue organization . Scar tissue may entrapped the heart or induce pressure level on brass continuously ensue in to predominant pain symptom . The pain sensation may run for month or years beyond the unmistakable healing of any damage tissues . In this setting , pain in the neck signal no longer represent an warning equipment about on-going or impending injury ; instead the alarm scheme itself is malfunctioning . fail back syndrome is a common cause of continuing painful sensation leading to disablement and unemployment .
Chronic Non-Cancer Neuropathic Pain :
Causes of Chronic Neuropathic Pain
Causes Of Cancer Neuropathic Pain
Primary Cancer :
Symptoms And Signs of Chronic Neuropathic Pain
Characteristics Of Non – Cancer Neuropathic Pain:
Pain :
Treatment for Chronic Neuropathic Pain
1. Medications for Chronic Neuropathic Pain
2. Manual Focused Therapy for Chronic Neuropathic Pain
3. Interventional Rx for Chronic Neuropathic Pain
4. Surgery for Chronic Neuropathic Pain
5. Psychotherapy
6. Behavioral Therapy
Opioid Medications for Chronic Neuropathic Pain
Opioid Medications in Neuropathic pain- Interventional Pain Therapy
Multidisciplinary Treatment :
Investigations for Chronic Neuropathic Pain
Quantitative test :
Thermography :
Electrodiagnostics :
