title: Diagnosis and management of neuropathic pain: review of literature and recommendations of the Polish Association for the Study of Pain and the Polish Neurological Society - Part Two.
abstract: Neuropathic pain may be caused by a variety of lesions or diseases of both the peripheral and central nervous system. The most common and best known syndromes of peripheral neuropathic pain are painful diabetic neuropathy, trigeminal and post-herpetic neuralgia, persistent post-operative and post-traumatic pain, complex regional pain syndrome, cancer-related neuropathic pain, HIV-related neuropathic pain and pain after amputation. The less common central pain comprises primarily central post-stroke pain, pain after spinal cord injury, central pain in Parkinson disease or in other neurodegenerative diseases, pain in syringomyelia and in multiple sclerosis. A multidisciplinary team of Polish experts, commissioned by the Polish Association for the Study of Pain and the Polish Neurological Society, has reviewed the literature on various types of neuropathic pain, with special focus on the available international guidelines, and has formulated recommendations on their diagnosis and treatment, in accordance with the principles of evidence-based medicine (EBM). High quality studies on the efficacy of various medicines and medical procedures in many neuropathic pain syndromes are scarce, which makes the recommendations less robust.
authors.affiliation: Department of Neurology, Jagiellonian University Medical College, Cracow, Poland.
authors.forename: Andrzej
authors.initials: A
authors.lastname: Szczudlik
authors.affiliation: Department of Pain Research and Treatment, Jagiellonian University Medical College, Cracow, Poland.
authors.forename: Jan
authors.initials: J
authors.lastname: Dobrogowski
authors.affiliation: Department of Pain Treatment and Palliative Care, Jagiellonian University Medical College, Cracow, Poland.
authors.forename: Jerzy
authors.initials: J
authors.lastname: Wordliczek
authors.affiliation: Department of Neurology, Military Institute of Medicine, Warsaw, Poland.
authors.forename: Adam
authors.initials: A
authors.lastname: Stępień
authors.affiliation: Department of Palliative Care, Nicolaus Copernicus University - Ludwik Rydygier Collegium Medicum, Bydgoszcz, Poland.
authors.forename: Małgorzata
authors.initials: M
authors.lastname: Krajnik
authors.affiliation: Department of Palliative Care, Karol Marcinkowski University School of Medical Sciences, Poznań, Poland.
authors.forename: Wojciech
authors.initials: W
authors.lastname: Leppert
authors.affiliation: Department of Pain Treatment and Palliative Care, Jagiellonian University Medical College, Cracow, Poland; Department of Clinical Pharmacology, Jagiellonian University Medical College, Cracow, Poland.
authors.forename: Jarosław
authors.initials: J
authors.lastname: Woroń
authors.affiliation: Department of Pain Research and Treatment, Jagiellonian University Medical College, Cracow, Poland.
authors.forename: Anna
authors.initials: A
authors.lastname: Przeklasa-Muszyńska
authors.affiliation: Department of Pain Research and Treatment, Jagiellonian University Medical College, Cracow, Poland.
authors.forename: Magdalena
authors.initials: M
authors.lastname: Kocot-Kępska
authors.affiliation: Department of Pain Research and Treatment, Jagiellonian University Medical College, Cracow, Poland.
authors.forename: Renata
authors.initials: R
authors.lastname: Zajączkowska
authors.affiliation: Department of Palliative Care and Medicine, Medical University of Silesia, Katowice, Poland.
authors.forename: Marcin
authors.initials: M
authors.lastname: Janecki
authors.affiliation: Department of Palliative Care, Nicolaus Copernicus University - Ludwik Rydygier Collegium Medicum, Bydgoszcz, Poland.
authors.forename: Anna
authors.initials: A
authors.lastname: Adamczyk
authors.affiliation: Department of Anesthesiology and Intensive Care, Medical Centre for Postgraduate Education, Warsaw, Poland. Electronic address: lmilewski@post.pl.
authors.forename: Małgorzata
authors.initials: M
authors.lastname: Malec-Milewska
mesh_terms: D006801:Humans; D009437:Neuralgia / Q000175:diagnosis* / Q000628:therapy*; D009462:Neurology / Q000592:standards*; D059408:Pain Management / Q000592:standards*; D010348:Patient Care Team; D011044:Poland; D017410:Practice Guidelines as Topic
keywords: Central pain; Complex regional pain syndrome; HIV-associated neuropathic pain; Malignant pain; Neuropathic pain; Painful diabetic polyneuropathy; Persistent post-operative and post-traumatic pain; Post-herpetic neuralgia; Trigeminal neuralgia