Screening for neuropathic pain
This is a draft cheat sheet. It is a work in progress and is not finished yet.
Tool can be used to evaluate presence of neuropathic pain. Ask the older adult the questions below and score as noted. Higher scores are more indicative of pain with a neuropathic component. A score of 3 or higher indicates likely presence of neuropathic pain and justifies a more detailed evaluation. If the older adult has more than one painful area, they are to consider the one area that is most relevant to them.Conditions that might have a neuropathic pain com ponent include diabetic or peripheral neuropathy, back pain, post-herpetic neuralgia, complex regional pain syndrome, leg/foot pain, large joint pain, and fibromyalgia.
Neuropathic Pain often requires different treatment approaches including use of anticonvulsants, antidepressants and other adjuvant medications.
Reproduced from Portenoy R for the ID Pain Steering Committee. (2006). Development and testing of a neuropathic pain screening questionnaire: ID Pain. Current Medical Research and Opinions, 22(6), 1555-1565.
1. Did the pain feel like pins and needles?
2. Did the pain feel like hot/burning?
3. Did the pain feel like numb?
4. Did the pain feel like electrical shocks?
5. Is the pain made worse with the touch of clothing or bed sheets?
6. Is the pain limited to your joints?