Tunks E
Can Fam Physician. 1985 Aug;31:1487-90.
Stabbing paroxysmal pain due to neurological disease can often be controlled by anticonvulsants, whereas steady burning pain is often responsive to tricyclic antidepressants, and to neuroleptics. Overuse of opiates may actually aggravate the pain, necessitating detoxification. Transcutaneous electrical nerve stimulation is helpful for conditions in which pain is localized, especially if there is a 'trigger area' or neuroma, or if paresthesias can be stimulated within the painful area. Local anesthetic injection, possibly with corticosteroid, relieves painful scars and neuromas, neuritis, and tender trigger points. Sympathetic blocks are used for post-herpetic neuralgia and sympathetic dystrophies. Relaxation therapy is a very useful psychological treatment.
由神经疾病引起的刺痛性阵发性疼痛通常可用抗惊厥药控制，而持续性灼痛通常对三环类抗抑郁药和抗精神病药有反应。过度使用阿片类药物实际上可能会加重疼痛，需要进行戒毒治疗。经皮电神经刺激对疼痛部位局限的情况有帮助，特别是如果存在“触发区”或神经瘤，或者在疼痛区域内可刺激到感觉异常时。局部麻醉注射（可能联合使用皮质类固醇）可缓解疼痛性瘢痕和神经瘤、神经炎以及压痛触发点。交感神经阻滞用于带状疱疹后神经痛和交感神经功能障碍。放松疗法是一种非常有用的心理治疗方法。
