The Modern Pain Podcast Neuropathic Pain Made Simple: What Every Clinician Should Know
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Apr 6, 2025 Dive into the complexities of neuropathic pain, where symptoms like burning and zinging often lead to misdiagnosis. Discover effective screening techniques using everyday objects like a coin and paperclip to identify nerve dysfunction. Learn how to differentiate between neuropathic and other pain types and avoid common diagnostic pitfalls. Gain clarity on crucial terms like radicular pain and explore the importance of precise neurological examinations in effective pain management.
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Neuropathic Pain Symptoms
- Neuropathic pain symptoms often feel like burning, shooting, or electric shocks, differing from typical musculoskeletal pain.
- These symptoms might accompany nerve injury history, medical conditions like diabetes, or other neurological issues.
Clinical Examination for Neuropathic Pain
- Conduct thorough physical exams, including neurodynamic tests and nerve palpation, to assess for neuropathic pain.
- Look for positive neurological findings like decreased reflexes, sensation, or muscle power in specific distributions.
Thorough Questioning
- Question patients thoroughly about their symptoms, including location, distribution, and any related neurological issues.
- Avoid tunnel visioning on a single location; explore the entire potential nerve pathway.