A Literature Review: The Mechanisms and Treatment of Neuropathic Pain-A Brief Discussion

Renira Rugnath, Casey Orzechowicz, Clayton Newell,Veronica Carullo, Anesh Rugnath, Anand Rotte

BIOMEDICINES(2024)

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摘要
Classically, neuropathic pain is described as a pain caused by a lesion or disease of the somatosensory system. However, one must note that the presence of somatosensory pathology alone does not guarantee a progression to neuropathic pain. This is due, in part, to the fact that neuropathic pain is a notoriously complex disease process, involving sensitization of both the central and peripheral nervous systems. Its causes are also numerous and varied, including trauma, the compression of a nerve, autoimmune disorders, diabetes, and infections. Due to the various manifestations, causes, and symptoms of neuropathic pain, the treatment of this disease process has proved challenging for generations of physicians. This section aims to elaborate on newly proposed mechanisms for pharmacological and targeted therapies, such as neurostimulation, which aim to reduce the negative somatosensory effects of neuropathic pain.
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关键词
neuropathic pain,neuralgia,radiculopathy,sensitization,peripheral nervous system,pediatric pain,genetic pain,gabapentinoids,tricyclic antidepressants,capsaicin,spinal cord stimulators,neurostimulation,interventional pain,compression
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