Neuropathic pain - Revision history

ClaireLewis: /* Management */

2017-03-28T18:32:35Z

Management

← Revisión anterior		Revisión del 18:32 28 mar 2017
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	**[[Antiepileptics]] - gabapentin, topiramate		**[[Antiepileptics]] - gabapentin, topiramate
	**[[TCAs]] - [[amitriptyline]], [[nortriptyline]]		**[[TCAs]] - [[amitriptyline]], [[nortriptyline]]
	**Duloxetine (especially if TCAs contraindicated)		**[[Duloxetine]] (especially if TCAs contraindicated)
	**Pregabalin		**[[Pregabalin]]
	**[[NSAIDs]] and [[Tylenol]]		**[[NSAIDs]] and [[Tylenol]]
	*Second line medications (temporary relief, not long term)		*Second line medications (temporary relief, not long term)

2017-03-28T18:22:23Z

Management

← Revisión anterior		Revisión del 18:22 28 mar 2017
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	*First line medication options (all have NNT from ~2-3 or better)		*First line medication options (all have NNT from ~2-3 or better)
	**[[Antiepileptics]] - gabapentin, topiramate		**[[Antiepileptics]] - gabapentin, topiramate
	**[[TCAs]] - [[~~amitryptyline~~]], [[nortriptyline]]		**[[TCAs]] - [[amitriptyline]], [[nortriptyline]]
	**Duloxetine (especially if TCAs contraindicated)		**Duloxetine (especially if TCAs contraindicated)
	**Pregabalin		**Pregabalin

2016-07-30T23:49:43Z

Text replacement - "opiates" to "opioids"

← Revisión anterior		Revisión del 23:49 30 jul 2016
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	==Background==		==Background==
	*Neuropathic pain responds best to multifaceted approach - not to [[opioids]]		*Neuropathic pain responds best to multifaceted approach - not to [[opioids]]
	*If ~~opiates~~ can be avoided, it helps primary care providers and pain management specialists create a better regimen		*If opioids can be avoided, it helps primary care providers and pain management specialists create a better regimen
	*Cornerstone of pain management is activity (exercise, PT, aquatherapy), but ~~opiates~~/benzodiazepines restrict this		*Cornerstone of pain management is activity (exercise, PT, aquatherapy), but opioids/benzodiazepines restrict this

	==Management==		==Management==

2016-07-14T23:43:03Z

Management

← Revisión anterior		Revisión del 23:43 14 jul 2016
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	*Do not consider starting patients on medications unless they will definitely obtain good follow-up		*Do not consider starting patients on medications unless they will definitely obtain good follow-up
	*First line medication options (all have NNT from ~2-3 or better)		*First line medication options (all have NNT from ~2-3 or better)
	**~~AEDs~~ - gabapentin, topiramate		**[[Antiepileptics]] - gabapentin, topiramate
	**TCAs - amitryptyline, nortriptyline		**[[TCAs]] - [[amitryptyline]], [[nortriptyline]]
	**Duloxetine (especially if TCAs contraindicated)		**Duloxetine (especially if TCAs contraindicated)
	**Pregabalin		**Pregabalin
	**NSAIDs and ~~tylenol~~		**[[NSAIDs]] and [[Tylenol]]
	*Second line medications (temporary relief, not long term)		*Second line medications (temporary relief, not long term)
	**Tramadol		**[[Tramadol]]
	**Muscle relaxants - cyclobenzaprine, methocarbamol, diazepam		**Muscle relaxants - cyclobenzaprine, methocarbamol, [[diazepam]]
	*Refer to pain specialist for multidisciplinary approach		*Refer to pain specialist for multidisciplinary approach
	*Pain specialists can offer (discussion with patient in ED):		*Pain specialists can offer (discussion with patient in ED):
Línea 20:		Línea 20:
	**Radiofrequency ablations		**Radiofrequency ablations
	**Spinal implants		**Spinal implants
	**Determination of long-term ~~opiates~~		**Determination of long-term opioids
	**Pain psychology		**Pain psychology
	**Spinal manipulation		**Spinal manipulation

2016-07-14T23:40:45Z

Background

← Revisión anterior		Revisión del 23:40 14 jul 2016
Línea 1:		Línea 1:
	==Background==		==Background==
	*Neuropathic pain responds best to multifaceted approach - not to ~~opiates~~		*Neuropathic pain responds best to multifaceted approach - not to [[opioids]]
	*If opiates can be avoided, it helps ~~PCPs~~ and pain management specialists create a better regimen		*If opiates can be avoided, it helps primary care providers and pain management specialists create a better regimen
	*Cornerstone of pain management is activity (exercise, PT, aquatherapy), but opiates/benzodiazepines restrict this		*Cornerstone of pain management is activity (exercise, PT, aquatherapy), but opiates/benzodiazepines restrict this

2016-07-13T20:01:28Z

Text replacement - "followup" to "follow-up"

← Revisión anterior		Revisión del 20:01 13 jul 2016
Línea 5:		Línea 5:

	==Management==		==Management==
	*Do not consider starting patients on medications unless they will definitely obtain good ~~followup~~		*Do not consider starting patients on medications unless they will definitely obtain good follow-up
	*First line medication options (all have NNT from ~2-3 or better)		*First line medication options (all have NNT from ~2-3 or better)
	**AEDs - gabapentin, topiramate		**AEDs - gabapentin, topiramate

2016-07-02T00:45:22Z

Text replacement - " pt " to " patient "

← Revisión anterior		Revisión del 00:45 2 jul 2016
Línea 16:		Línea 16:
	**Muscle relaxants - cyclobenzaprine, methocarbamol, diazepam		**Muscle relaxants - cyclobenzaprine, methocarbamol, diazepam
	*Refer to pain specialist for multidisciplinary approach		*Refer to pain specialist for multidisciplinary approach
	*Pain specialists can offer (discussion with pt in ED):		*Pain specialists can offer (discussion with patient in ED):
	**Injections - trigger point, epidural steroid injections, facet injections, medial branch blocks, joint steroid injections		**Injections - trigger point, epidural steroid injections, facet injections, medial branch blocks, joint steroid injections
	**Radiofrequency ablations		**Radiofrequency ablations

2016-06-21T16:50:48Z

Text replacement - " pts" to " patients"

← Revisión anterior		Revisión del 16:50 21 jun 2016
Línea 5:		Línea 5:

	==Management==		==Management==
	*Do not consider starting ~~pts~~ on medications unless they will definitely obtain good followup		*Do not consider starting patients on medications unless they will definitely obtain good followup
	*First line medication options (all have NNT from ~2-3 or better)		*First line medication options (all have NNT from ~2-3 or better)
	**AEDs - gabapentin, topiramate		**AEDs - gabapentin, topiramate

2016-03-22T14:14:55Z

Text replacement - "Category:Neuro" to "Category:Neurology"

← Revisión anterior		Revisión del 14:14 22 mar 2016
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	Rathmell JP. A 50-year-old man with chronic low back pain. JAMA. 2008;299(17):2066-77.		Rathmell JP. A 50-year-old man with chronic low back pain. JAMA. 2008;299(17):2066-77.

	[[Category:~~Neuro~~]]		[[Category:Neurology]]

2014-12-02T15:40:32Z

References

← Revisión anterior		Revisión del 15:40 2 dic 2014
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	==References==		==References==
	Rathmell JP. A 50-year-old man with chronic low back pain. JAMA. 2008;299(17):2066-77.		Rathmell JP. A 50-year-old man with chronic low back pain. JAMA. 2008;299(17):2066-77.

			[[Category:Neuro]]