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Neuropathic Pain

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1. Attributes 2. Signs & symptoms 3. Drugs / medications 4. Treatments by type 5. Further tests / investigations 6. Biological / test markers

Condition overview

Attributes

Commonalityis common

Linked signs and symptoms

10

Each sign/symptom opens its own page and links back to related conditions.

Linked drugs / medications

3

Medication information is educational only. A doctor or pharmacist should advise whether any medicine is appropriate.

Treatments, therapies and supportive options

20

Grouped by treatment type. These are educational database links, not personal treatment recommendations. Evidence labels are shown only where stored in the EH database.

Linked diagnostic tests and investigations

3

These are pulled from both EH diagnostic-test link tables, including the older large test-link table.

Biological and test markers

3

This visual map uses existing EH database links to show biological agents and lab markers reported as increased, decreased, or associated with this condition. These are educational relationships only; test results must be interpreted by a qualified clinician because ranges vary by lab, method, age, sex and clinical context.

Other associated markers

0

No markers in this group.

Introduction / full article

Neuropathic Pain

ID 1169

Efficacy of Alternative and Other Treatments According to GRADE* Ranking:

Peppermint Oil [1, 11, 12, 13, 14, 15, 16]:

Please note, this management does NOT treat the condition itself. It may mildly help with some of the symptoms, and even then has insufficient evidence to back up this claim at present.

Recommendation: no recommendation (There is insufficient evidence to support claims that peppermint helps to treat neuropathic pain)

Grade of Evidence: very low quality of evidence

Cannabis (Marijuana, weed, hemp) [1, 2, 3, 4, 5, 6, 7, 8, 9, 10]:

Please note, this management does NOT treat the condition itself. It may mildly help with some of the symptoms, and even then has insufficient evidence to back up this claim at present.

Recommendation: Weakly in favor (Evidence shows that smoking or ingesting cannabis may help in relieving symptoms of pain, although some studies have yielded mixed results)

Grade of Evidence: low quality of evidence

Red Pepper (Capsaicin):

Please note, this management does NOT treat the condition itself. It is proposed only as a weak supportive symptomatic support, and even then, has insufficient evidence to back up this claim at present.

Recommendation: strongly in favor (Evidence suggest that red peppers can reduce the degree of neuropathic pain in patients after surgery)

Grade of Evidence: moderate quality of evidence

Transcutaneous Electrical Neuromuscular Stimulation:

Please note, this management does NOT treat the condition itself. It may mildly help with some of the symptoms, and even then has insufficient evidence to back up this claim at present.

Recommendation: no recommendation (There is not enough evidence supporting the role of TENS in chronic pain therapy)

Grade of Evidence: low quality of evidence

* www.gradeworkinggroup.org

 

Summary References

Treatments:

1. Ades T, Alteri R, Gansler T, Yeargin P, "Complete Guide to Complimentary & Alternative Cancer Therapies", American Cancer Society, Atlanta USA, 2009

2. http://www.nlm.nih.gov/medlineplus/marijuana.html

3. http://nccam.nih.gov/research/extramural/awards/2004/

4. http://www.cancer.org/Treatment/TreatmentsandSideEffects/ComplementaryandAlternativeMedicine/HerbsVitaminsandMinerals/marijuana

5. http://www.nationalmssociety.org/about-multiple-sclerosis/what-we-know-about-ms/treatments/complementary--alternative-medicine/marijuana/index.aspx

6. http://www.ncbi.nlm.nih.gov/pubmed/16957511

7. http://www.ncbi.nlm.nih.gov/pubmed/12965981

8. http://www.ncbi.nlm.nih.gov/pubmed/17589370

9. http://mct.aacrjournals.org/content/6/11/2921.long

10. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2562334/?tool=pmcentrez 

11.  http://www.cancer.org/Treatment/TreatmentsandSideEffects/ComplementaryandAlternativeMedicine/HerbsVitaminsandMinerals/peppermint

12. http://www.ncbi.nlm.nih.gov/pubmed/17420159

13. http://www.ncbi.nlm.nih.gov/pubmed/19507027

14. http://www.medicine.ox.ac.uk/bandolier/booth/alternat/AT022.html

15. http://www.nlm.nih.gov/medlineplus/druginfo/natural/patient-peppermint.html

16. http://nccam.nih.gov/health/peppermintoil/index.htm







 

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