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Recommendations of the Latin-American network for the study and treatment of the neuropathic pain

机译:拉丁美洲网络对神经性疼痛的研究和治疗的建议

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摘要

Neuropathic pain (NP) is a kind of pain which is distinct from the somatic or visceral pain that the GP is used to assessing; the clinical profile and the response to treatment of this kind of pain are different. Given its high incidence in the population, it is important that the non-specialized physician should be capable of identifying it early and start treatment. This work attempts to summarize the clinical, diagnostic, pathophysiological and therapeutic aspects of NP to guide the non-specialized physician in the identification and initial treatment of patients suffering from NP. At the same time, the therapeutic options which are only available at centers specialized in the treatment of pain in patients who do not progress satisfactorily are also summarized. This work includes the updates published on the latest guidelines and recommendations, which have had a major impact worldwide. As background to this report, highly-respected professionals from our field published in 2008 an important article in Spanish. This material sets out clinical, pathophysiological and diagnostic concepts which the authors of this work mostly agree with. On the other hand, we differ significantly in the therapeutic aspects.
机译:神经性疼痛(NP)是一种不同于GP用于评估的躯体或内脏疼痛的疼痛。这种疼痛的临床特征和对治疗的反应是不同的。鉴于其在人群中的高发病率,重要的是,非专业医生应能够及早发现并开始治疗。这项工作试图总结NP的临床,诊断,病理生理和治疗方面,以指导非专业医师确定和治疗NP患者。同时,还总结了仅在治疗不能令人满意的患者的疼痛专门治疗中心可用的治疗选择。这项工作包括根据最新指南和建议发布的更新,这些更新已在全球范围内产生了重大影响。作为本报告的背景,2008年,我们领域备受尊敬的专业人员用西班牙语发表了重要文章。该材料提出了临床,病理生理学和诊断学的概念,这项工作的作者大多对此表示赞同。另一方面,我们在治疗方面存在显着差异。

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