Neuropathic Pain Related with Spinal Disorders: A Systematic Review.

Neuropathic Pain Related with Spinal Disorders: A Systematic Review. Asian Spine J. 2017 Aug;11(4):661-674 Authors: Song KS, Cho JH, Hong JY, Lee JH, Kang H, Ham DW, Ryu HJ Abstract Systematic literature review. To review the evidence from high-quality studies regarding the treatment of neuropathic pain originating specifically from spinal disorders. In general, treatment guidelines for neuropathic pain cover all its various causes, including medical disease, peripheral neuropathy, and cancer. However, the natural history of neuropathic pain originating from spinal disorders may differ from that of the pain originating from other causes or lesions. An expert research librarian used terms related to neuropathic pain and spinal disorders, disc herniation, stenosis, and spinal cord injury to search in MEDLINE, Embase, and Cochrane CENTRAL for primary research from January 2000 to October 2015. Among 2,313 potential studies of interest, 25 randomized controlled trials (RCTs) and 21 systematic reviews (SRs) were included in the analysis. The selection was decided based on the agreement of two orthopedic surgeons. There was a lack of evidence about medication for radiculopathy arising from disc herniation and stenosis, but intervention procedures, including epidural block, showed positive efficacy in radiculopathy and also limited efficacy in spinal stenosis. There was some evidence based on the short-term follow-up regarding surgery being...
Source: Asian Spine Journal - Category: Orthopaedics Tags: Asian Spine J Source Type: research