What is neuropathic pain?
Classification: central peripheral
Aetiologies:
How do you explain concept of neuropathic pain to patients (sparking wire?)
What pathophysiology is involved (neuroma, sodium channels, ectopy, DRG, central sensitization)?
Adrenergic nervous system and neuropathic pain
Dieback theory of nerve degeneration
Sunderland’s classification nerve damage
Inherited forms of neuropathic pain (Fabry’s, congenital insensitivity to pain, erythromelagia, paroxysmal pain syndrome)
Role of POST and QST
Discuss positive and negative examination features
Screening tools: DNQ LASS, PainDETECT
Screening blood tests for peripheral neuropathy
Basic nerve conduction tests & EMG, sural nerve biopsy