Diagnosing and treating neuropathic pain, or nerve pain, can be very challenging or more straightforward depending on the presentation. Now that we've covered nociceptive pain, we’ll dive into the differences with neuropathic presentations.

We break down how to best treat various pathologies, from first line medications and navigating side effect vs benefits, through more invasive interventional options like neuromodulation, intrathecal therapies, and low dose opioids.

Making decisions around treatments can be challenging and based on many factors that are individual to the patient. We discuss the different limitations and considerations with nerve pain, so you have more options to consider as a patient or provider.

Resources:

www.iniyh.com

https://www.instagram.com/iniyhpodcast/

https://www.resilientwarriorcoachingllc.com/

https://www.drdanbates.com.au/

Timestamps:

00:00 Official Intro

00:17 Intro - Diagnosing & Treating Neuropathic Pain

03:32 What causes neuropathic pain?

04:28 Other causes

05:47 We miss diagnose it because we don't ask

07:05 Difference of Nociceptive pain vs Neuropathic pain presentations

10:51 The Emotional Component

15:24 Treating different types of Neuropathic Pain

18:45 First Line Medications

26:02 Side effects vs benefits

27:06 Topical Medications

29:39 Interventional Options

32:08 Neuromodulation

35:28 Trial Period

37:43 Intrathecal Therapies & Low dose Opioids

41:26 Rate at which we move through therapies

44:56 Making decisions based on ALL the other factors

46:05 Unique challenges from a patient perspective

52:10 Technological Limitations

55:55 Wrap Up & Takeaway

59:20 Disclaimer