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Neuropathic Pain

Understanding Neuropathic Pain

Neuropathic pain is a type of long-term (chronic) pain that is caused by damage to the nervous system.

Neuropathic pain overview

Neuropathic pain occurs because of damage to nerves – cells that send signals to and from the spinal cord and brain.1

 

There are many possible causes of neuropathic pain. In the hands/feet, limbs and body, nerve damage can be caused by injury, surgery, diabetes, poison, infection, or cancer. 1,2 In the spinal cord and brain, nerve damage may arise due to injury, stroke, multiple sclerosis or Parkinson’s disease. 1,2

Facts about Neuropathic Pain

Neuropathic pain is a long-term (chronic) type of pain, which is caused by damage to the nervous system. There are many possible causes of neuropathic pain, such as injury, surgery, diabetes, poison, infection, and cancer.1,2

Neuropathic pain can be described as ‘electric’, burning hot or cold, or like receiving a shock.7 It is commonly felt in the skin, or just beneath the skin.7

Symptoms

Neuropathic pain occurs because of damage to nerves – cells that send signals to and from the spinal cord and brain.1

 

There are many possible causes of neuropathic pain. In the hands/feet, limbs and body, nerve damage can be caused by injury, surgery, diabetes, poison, infection, or cancer.1,2 In the spinal cord and brain, nerve damage may arise due to injury, stroke, multiple sclerosis or Parkinson’s disease.1,2

7-10%

of people worldwide are thought to have neuropathic pain.3,4

17%

of people described their chronic neuropathic pain as ‘worse than death’ in one survey.8

Epidemiology and burden

Worldwide, 7–10% of people are thought to have neuropathic pain, many of whom have been in pain for more than 5 years.4,5

 

Not all people with nerve damage develop neuropathic pain, although the likelihood increases among people with certain conditions.2 For example, neuropathic pain may affect up to a third of people with early-stage breast cancer,6 and half of people with a spinal cord injury.7 Around a quarter to a half of people with diabetes have nerve damage, which can result in neuropathic pain.8 Neuropathic pain is likely to become even more common in the future, due to the ageing global population and increasing rates of diabetes and cancer.2

 

Neuropathic pain adds a greater burden to already burdensome conditions. In one survey, 17% of people described their chronic neuropathic pain as ‘worse than death’.9 The pain is associated with anxiety, depression, disturbed sleep, and impaired thinking, which can affect a person’s quality of life.2 A global survey by the World Health Organization (WHO) found that people with a chronic pain condition miss an average of 14 additional days of work or activities per year, compared with people without such a condition.10

Facts about Neuropathic Pain

Neuropathic pain may affect up to a third of people with early-stage breast cancer,5 and half of people with a spinal cord injury.6

Neuropathic pain is associated with anxiety, depression, disturbed sleep, impaired thinking, and reduced quality of life.2

People who are concerned that they – or their loved ones – are experiencing symptoms of neuropathic pain should see their doctor for help and advice. 

Diagnosis and care

Neuropathic pain is identified using medical history, examinations, and pain questionnaires.2,11 It is important that the correct type of pain is identified, because different types of pain should be treated differently.12

 

While it is important to treat the cause of neuropathic pain, it is usually not possible to repair the damaged nerves.1,2 The aim of treatment is therefore to manage the pain, which normally involves medication.2

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