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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.

Introd­uction

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

Score

Ques­tion
Yes/No
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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