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Physical Therapy Modalities and Rehabilitation Techniques in the Management of Neuropathic Pain

Akyuz, Gulseren MD; Kenis, Ozge MD

American Journal of Physical Medicine & Rehabilitation: March 2014 - Volume 93 - Issue 3 - p 253–259
doi: 10.1097/PHM.0000000000000037
Literature Review

ABSTRACT Neuropathic pain is an important problem because of its complex natural history, unclear etiology, and poor response to standard physical therapy agents. It causes severe disability unrelated to its etiology. The primary goals of the management of neuropathic pain are to detect the underlying cause, to define the differential diagnosis and eliminate risk factors, and to reduce the pain. The physician should also know the functional and psychologic conditions of the patient. Therefore, a multimodal management plan in neuropathic pain is essential. This review aimed to reflect a diverse point of view about various physical therapy modalities and rehabilitation techniques. Physical therapy modalities and rehabilitation techniques are important options and must be considered when pharmacotherapy alone is not sufficient. In addition, psychosocial support and cognitive behavioral therapy could also be taken into consideration. It has been suggested that the importance of pain rehabilitation techniques will increase in time and these will take a larger part in the management of neuropathic pain. However, it is now early to comment on these methods because of the lack of adequate publications.

From the Department of Physical Medicine and Rehabilitation (GA, OK) and Department of Algology (GA), Marmara University, School of Medicine, Istanbul, Turkey.

All correspondence and requests for reprints should be addressed to: Fevzi Cakmak Mah, Mimar Sinan Cad, Marmara Üniversitesi, Hastanesi No: 41, 34899 Üst Kaynarca, İstanbul, Turkey.

Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.

© 2014 by Lippincott Williams & Wilkins