From the Department of Physical Medicine and Rehabilitation (GA, OK) and Department of Algology (GA), Marmara University, School of Medicine, Istanbul, Turkey.
Am J Phys Med Rehabil. 2014 Mar;93(3):253-9. doi: 10.1097/PHM.0000000000000037.
Neuropathic pain is an important problem because of its complex natural history, unclear etiology, and poor response to standard physical therapy agents. It causes severe disability unrelated to its etiology. The primary goals of the management of neuropathic pain are to detect the underlying cause, to define the differential diagnosis and eliminate risk factors, and to reduce the pain. The physician should also know the functional and psychologic conditions of the patient. Therefore, a multimodal management plan in neuropathic pain is essential. This review aimed to reflect a diverse point of view about various physical therapy modalities and rehabilitation techniques. Physical therapy modalities and rehabilitation techniques are important options and must be considered when pharmacotherapy alone is not sufficient. In addition, psychosocial support and cognitive behavioral therapy could also be taken into consideration. It has been suggested that the importance of pain rehabilitation techniques will increase in time and these will take a larger part in the management of neuropathic pain. However, it is now early to comment on these methods because of the lack of adequate publications.
神经性疼痛是一个重要的问题，因为其具有复杂的自然病史、不明确的病因和对标准物理治疗药物反应不佳的特点。它会导致与其病因无关的严重残疾。神经性疼痛管理的主要目标是发现潜在病因，明确鉴别诊断并消除风险因素，以及减轻疼痛。医生还应该了解患者的功能和心理状况。因此，神经性疼痛的多模式管理计划至关重要。本篇综述旨在反映关于各种物理治疗方法和康复技术的不同观点。物理治疗方法和康复技术是重要的选择，当单独使用药物治疗不足时，必须考虑这些方法。此外，心理社会支持和认知行为疗法也可以考虑。有人认为，随着时间的推移，疼痛康复技术的重要性将会增加，这些技术将在神经性疼痛的管理中占据更大的比重。然而，由于缺乏足够的出版物，现在对这些方法进行评论还为时过早。
