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InteractIve questions

Explore the pathophysiology, epidemiology, burden of illness, assessment, and management of neuropathic pain. Discuss patient cases, different types of nerve damage, comorbid symptoms, diagnostic challenges, non-pharmacological approaches, and treatment adherence.

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InteractIve questions

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  1. InteractIve questions

  2. Pathophysiology Multiple Choice Question • What is neuropathic pain? • Pain caused by a lesion or disease of the somatosensory nervous system • Pain due to a stimulus that does not normally provoke pain • Unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage • Sensory experience that occurs when specific sensory neurons respond to noxious stimuli

  3. Pathophysiology Discussion Question • What are some patient cases of neuropathic pain that you have encountered in your practice?

  4. Pathophysiology Discussion Question • How do central and peripheral neuropathic pain differ?

  5. Pathophysiology Discussion Question • What types of nerve damage may lead to the development of neuropathic pain?

  6. Epidemiology Multiple Choice Question • What proportion of the general population suffers from neuropathic pain? • <1% • 1-2% • 5-20% • 20-30%

  7. Epidemiology Discussion Question • What proportion of your patients suffer from neuropathic pain?

  8. Epidemiology Discussion Question • What proportion of diabetic patients in your practice experience painful diabetic peripheral neuropathy?

  9. Epidemiology Discussion Question • How do you think the prevalence of painful diabetic peripheral neuropathy in your region differs from that in other regions?

  10. Epidemiology Discussion Question • Are you seeing more patients with herpes zoster and postherpetic neuropathy in your practice? • Why or why not?

  11. Burden of Illness Discussion Question • How has neuropathic pain affected some of your patients?

  12. Burden of Illness Multiple Choice Question • What is the most common comorbid symptom among patients with peripheral neuropathic pain? • Anxiety • Concentration difficulties • Depression • Difficulty sleeping

  13. Burden of Illness Discussion Question • How has neuropathic pain affected some of your patients?

  14. Assessment Discussion Question • What are some of your biggest challenges in diagnosing patients with neuropathic pain? • How do you overcome these challenges?

  15. Assessment Multiple Choice Question • Which of the following are common descriptors of neuropathic pain? • “Aching” • “Burning” • “Electric shock” • “Itching” • “Numbness” • “Shooting” • “Tingling” • “Throbbing”

  16. Assessment Discussion Question • Do you use a screening tool for neuropathic pain in your practice? • If so, which tool and why?

  17. Assessment Discussion Question • What bedside tests do you typically use in your practice? • Why?

  18. Management Discussion Question • How do you manage expectations in patients with neuropathic pain?

  19. Management Discussion Questions • Do your patients frequently use or request non-pharmacological treatment modalities? • If so, which ones? • What do you tell your patients about these treatments?

  20. Management Discussion Question • What non-pharmacological approaches to neuropathic pain management have you found helpful for your patients?

  21. Management Discussion Questions • What do you think accounts for the differences between various guideline recommendations? • How does this affect your clinical practice?

  22. Management Discussion Question • What treatment approach would you take with a patient suffering from mixed pain due to complex regional pain syndrome?

  23. Management Discussion Question • Is non-adherence to therapy an issue for your patients with neuropathic pain? • If so, how do you address this in your practice?

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