Chapter

Neuropathic back pain

Rainer Freynhagen

in Neuropathic Pain

Second edition

Published on behalf of Oxford University Press

ISBN: 9780199563678
Published online May 2011 | e-ISBN: 9780199607426 | DOI: http://dx.doi.org/10.1093/med/9780199563678.003.0010

Series: Oxford Pain Management Library

Neuropathic back pain

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• Approximately 25–30% of patients with chronic low back pain have a neuropathic component, most usually chronic lumbar radicular pain. • Distinguishing between radicular and pseudoradicular syndromes in low back pain may have some clinical relevance but in practice is difficult to achieve. • A neuropathic component in low back pain can be identified through a combination of verbal descriptors and thorough clinical examination including evoking nerve root tension signs or dural irritation (e.g. straight leg raise). There is poor correlation between radiologic imaging and clinical symptoms. • Treatment of chronic neuropathic low back pain is similar to other neuropathic pain conditions and should be tailored to the individual.

Chapter.  2179 words.  Illustrated.

Subjects: Anaesthetics ; Pain Medicine

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