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Related Experiment Videos

Neuropathic pain: implications for the surgeon.

Robert A Milch1

  • 1State University of Buffalo, Buffalo, NY, USA. rmilch@palliativecare.org

The Surgical Clinics of North America
|April 19, 2005
PubMed
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Managing neuropathic pain involves a methodical trial of analgesics, antidepressants, anticonvulsants, and antiarrhythmics. Patient engagement and realistic goals are key for symptom control and improved function.

Area of Science:

  • Neurology
  • Pharmacology
  • Pain Management

Background:

  • Neuropathic pain management relies on understanding complex mechanisms.
  • Current pharmacologic therapy requires a systematic approach.

Purpose of the Study:

  • To outline a structured approach to pharmacologic therapy for neuropathic pain.
  • To emphasize patient-centered care and realistic goal setting.

Main Methods:

  • Utilizing a sequential trial of medications categorized as the "four As": analgesics, antidepressants, anticonvulsants, and antiarrhythmics.
  • Focusing on patient engagement to establish mutually acceptable treatment plans and goals of care.

Main Results:

  • A methodical trial of the "four As" is essential for effective neuropathic pain management.

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  • Successful outcomes prioritize symptom control and functional maximization.

    • Conclusions:

    • Surgeons can manage most neuropathic pain cases effectively.
    • Complex cases benefit from interdisciplinary pain management centers and supportive interventions.