The Diagnostic Workup of Patients with Neuropathic Pain
Neuropathic pain is initiated or caused by damage or dysfunction of the peripheral or central nervous systems in various disorders, each having pain-related symptoms and signs thought secondary to common pain mechanisms. Ancillary testing may demonstrate associated nervous system abnormalities, however its specificity is inadequate at present, as it makes inferential conclusions from indirect data. Symptom assessment and physical findings remain paramount in the diagnosis of neuropathic pain.
aUniversity of Vermont College of Medicine, Burlington, VT 05405, USA
bDepartment of Neurology, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA
Department of Neurology, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA.
A version of this article originally appeared in the 91:1 issue of Medical Clinics of North America.