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A Neuropathic Pain Screen Cheat Sheet (DRAFT) by [deleted]

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.

Pain Diagram


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?

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