Treatment of Neuropathic Pain: The Functional Rehabilitative ...

June 25th | Treatment.of.Pediatric.Neurologic.Disorders

Neuropathic pain is notoriously difficult to treat and often do not respond to conventional analgesics. The pain management is often frustrating for the patient and the health care provider. It is rarely possible to predict the high success rate for any single therapy and often the patient will receive multimodal treatment. Treatment often involves trial and error, titration of medications also limited by side effects, and weighing of risks and benefits of therapy. The functional approach to rehabilitation is often highlighted by the return to school and palliative care are the goals that often the pain is persistent. Most pharmacological treatments is based on extrapolation of treatment for adults with opioids, antidepressants, anticonvulsants, and local anesthetic-like drugs demonstrating varying degrees of effectiveness. Most drugs used are not traditional analgesics, and data on the safety and pharmacokinetics of the use of these drugs in children came from clinical trials for the treatment of depression, epilepsy, and enuresis. Generally, a slower titration of these drugs is recommended to minimize side effects and to detect adverse effects. There is often a compromise between moderate analgesia and some side effects.

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Tags: approach, functional, NEUROPATHIC, pain, REHABILITATIVE, The, treatment

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