Dan and Juz cover the neuropathic pain algorithm, taking you through first through fourth-line treatment options from most to least conservative. They cover trialing and combining various medications including opioids, topicals for focal areas of pain, and various interventional options all the way up to neuromodulation (peripheral or spinal cord stimulators), and pain pumps. This episode helps a PCP or other physician have a guide to more efficiently work through treatments for neuropathic pain, and patients better understand their options so they can more effectively advocate for themselves. Visit the episode page at the website below for a link to download the paper with the algorithm.

Resources:

www.iniyh.com

Timestamps:

00:00 Official Intro

00:17 Intro

03:51 Why Did Dan Develop this Algorithm?

06:45 Starting Point - Is It Neuropathic Pain?

09:53 How to Draw Your Pain Diagram (KEY)

12:23 Consequences for Neuropathic Pain

19:04 Medication Perspective

25:09 How to Prescribe Medications

26:26 Second Line Combination Therapy

31:08 Topical Focal Treatments

36:05 Specialist Referral

40:15 Pulsed Radiofrequency

43:43 Adhesiolysis

46:49 Thermal Radiofrequency

47:59 STIM Interventions - Neuromodulation

56:09 Making Difficult Choices

01:01:50 Complications

01:04:30 SCS Pocket Pain

01:08:18 Opioids

01:15:20 Targeted Drug Therapy

01:16:56 Wrap Up

01:19:44 Disclaimer