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Management of Chronic Pain in Neurological Disorders 

Management of Chronic Pain in Neurological Disorders
Chapter:
Management of Chronic Pain in Neurological Disorders
Author(s):

Alexander Feoktistov

DOI:
10.1093/med/9780199349302.003.0021
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date: 19 August 2019

Abstract: This chapter discusses management of chronic pain in neurological disorders. In this process, it is important to be familiar with diagnostic criteria of most common neurological conditions associated with chronic pain, such as multiple sclerosis, post-stroke pain, chronic migraine and medication overuse headaches, and complex regional pain syndrome. Emphasis is placed on using a multidisciplinary approach to inpatient treatment of these painful conditions, which should include nonpharmacological treatment modalities (transcutaneous nerve stimulation, physical and occupational therapy, cognitive behavioral therapy), conservative medical management (antidepressants, anticonvulsants, various abortive medications), and interventional treatment approaches. Therapy should be started conservatively and treatment advanced on the basis of the patient’s response. Acute on chronic pain may present as a leading symptom of exacerbation in these conditions or it may be found in the background of other neurological symptoms.

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