The successful management of neuropathic pain is measured by the degree of relief and functional improvement experienced by the patient. Neuropathy can be divided into two major types: focal mononeuritis and diffuse polyneuropathy. Symptoms of neuropathy present in many different ways depending on the types of nerve fibers affected. Large nerve fiber neuropathies present with symptoms such as weakness, muscle wasting, deficits in proprioception, deep tendon reflexes and vibratory sense. Small nerve fiber neuropathies present with alterations to heat, cold and pain sensations. Neuropathic pain has been described as intolerable burning, crushing, searing, stabbing, stinging, pins and needles, aching, and electrical shocks. Peripheral neuropathy has a variety of causes such as entrapment, ischemia, hereditary disorders, systemic and metabolic disease, vitamin deficiency, and toxic exposure making an accurate diagnosis difficult. Therefore, a thorough detailed medical history combined with a physical and neurologic exam is the first step in reaching a definitive diagnosis leading to the effective management of neuropathic pain.
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Details
Title
Diagnosing and Managing Peripheral Neuropathy
Creators
Rebecca Storment Garcia
Contributors
Lorna Schumann (Advisor)
Awarding Institution
Washington State University
Academic Unit
Research Projects, College of Nursing
Theses and Dissertations
Master of Nursing (MN), Washington State University
Publisher
Washington State University; Spokane, Washington
Identifiers
99900590732501842
Copyright
http://creativecommons.org/licenses/by-nc-sa/3.0/us; Creative Commons Attribution-NonCommercial-ShareAlike 3.0 United States (CC BY-NC-SA 3.0 US)