Comment

Comment by Mystic Wolf on December 22, 2019 at 12:00am

Comment by Mystic Wolf on December 21, 2019 at 7:14pm

Neuropathic pain (NP) is often refractory to pharmacologic and noninterventional treatment. On behalf of the International Association for the Study of Pain Neuropathic Pain Special Interest Group, the authors evaluated systematic reviews, clinical trials, and existing guidelines for the interventional management of NP. Evidence is summarized and presented for neural blockade, spinal cord stimulation (SCS), intrathecal medication, and neurosurgical interventions in patients with the following peripheral and central NP conditions: herpes zoster and postherpetic neuralgia (PHN); painful diabetic and other peripheral neuropathies; spinal cord injury NP; central poststroke pain; radiculopathy and failed back surgery syndrome (FBSS); complex regional pain syndrome (CRPS); and trigeminal neuralgia and neuropathy.

Due to the paucity of high-quality clinical trials, no strong recommendations can be made.

Four weak recommendations based on the amount and consistency of evidence, including a degree of efficacy and safety, are

1) epidural injections for herpes zoster;

2) steroid injections for radiculopathy;

3) SCS for FBSS, and

4) SCS for CRPS type

1. Based on the available data, we recommend not to use sympathetic blocks for PHN nor radiofrequency lesions for radiculopathy.

No other conclusive recommendations can be made due to the poor quality of available data.

Comment by Mystic Wolf on December 21, 2019 at 7:09pm

Comment by Arachnifauna on November 19, 2019 at 7:04pm

Thank you....you are welcome to use it for your discussions.

Comment by Mystic Wolf on November 19, 2019 at 1:57pm

I really like the mushroom display here Arachnifauna. Cool.

Comment by Arachnifauna on November 19, 2019 at 12:41am

by Lucy Purdy

Comment by Mystic Wolf on November 17, 2019 at 9:42pm

Thank you, Margarida

Comment by Mystic Wolf on November 17, 2019 at 9:41pm

Thank you SunKat for adding me as an Administrator. I appreciate it

Comment by SunKat on November 17, 2019 at 10:41am

Comment by Patricia Fross on November 15, 2019 at 7:07pm

Just a quick note, I did clean my history/cookies last week...didnt change anything...

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