期刊
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
卷 25, 期 5, 页码 S12-S17出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/S0885-3924(03)00065-4
关键词
neuropathic pain; antiepileptic drug; oxcarbazepine; comorbidity; pain diagnosis; pain management
Neuropathic pain is a challenging condition to treat. It is heterogeneous in nature and largely resistant to treatment with commonly prescribed analgesics. Current management strategies fail to achieve adequate or satisfactory pain relief in a high proportion of patients. The four main reasons that treatments for neuropathic pain fail are: inadequate diagnosis and a luck of appreciation of the mechanisms involved; insufficient management of comorbid conditions,incorrect understanding or selection of treatment options; and the use of inappropriate outcomes measures. These unmet needs in the current management of neuropathic pain are reviewed in this article. The review focuses on the need for a methodical and mechanistic approach to diagnosis, and a flexible, interdisciplinary approach to treatment of neuropathic pain conditions, in order to improve pain relief and quality of life in patients with neuropathic pain.
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