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Neuropathic Pain
What is Neuropathic Pain?
Dysfunction of the nervous system, as in neuropathic pain conditions, originates from abnormalities in neural structures. Neuropathic pain is burning, spontaneous, triggered, ongoing, and can be accompanied by other neurologic signs.
How do you Diagnose Neuropathic Pain?
Neuropathic pain is burning, spontaneous, triggered, ongoing, and can be accompanied by other neurologic signs.
Sometimes we see peripherally generated mediation going on outside the central nervous system. This means something is interfering with normal neurological function, like entrapment neuropathy, or a lesion is leaning on a mandibular nerve. Neuritis pains such as herpes zoster or post herpetic neuralgia could also be present.
Additional examples include: Trigeminal Neuralgia, Burning Mouth Syndrome, Post Traumatic Trigeminal Neuropathy, Persistent Dentoalveolar Pain, and Occlusal Dysesthesia, a “somatic symptom disorder.” Patients will complain about the teeth, as if something is in between the teeth, and this a form of neuropathic pain.
Two types of Neuropathic Pain:
Episodic: Quick, sharp, electric 9/10, and the duration is only seconds. The pain follows a distribution which we call neuralgias.
Persistent: These pains are more continuous. They are dull and aching, yet there is a burning quality to them. The ongoing intensity shows fluctuation, accompanied by either numbness, a crawling sensation, or an awkward feeling of not feeling much.
