Aug 29 2024 80 mins 1
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:
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
