In patients experiencing neuropathic pain, it is essential to identify the presence of abnormal sensory findings that are logically related to the neuroanatomy and consistent with a specific lesion site. The location, quality, and intensity of the pain should be carefully evaluated. To conduct a comprehensive assessment, it is crucial to have a clear understanding of the various types of negative symptoms (e.g., sensory loss) and positive symptoms (e.g., pain and paresthesias) that may be present. Neuropathic pain can manifest as spontaneous pain, which is not dependent on any external stimulus, or as provoked pain, which occurs in response to specific stimuli.

When examining individuals suspected of having neuropathic pain, a neurological assessment should encompass the evaluation of motor, sensory, and autonomic phenomena in order to identify any signs of neurological dysfunction. It is important to document sensory abnormalities in detail, preferably by creating body sensory maps. Neurologists often draw these maps, illustrating the affected territories on schematic charts of the front and back of the body. Although it may pose challenges for non-specialists and can be time-consuming for all parties involved, creating these visual representations of sensory abnormalities provides valuable information.

Upon completion, attendees will be able to...

1. Differentiate between spontaneous and provoked neuropathic pain, recognizing the characteristic features, such as constant burning sensation, intermittent or paroxysmal nature, and the presence of dysesthesias and paresthesia’s.

2. Perform a comprehensive neurological examination in patients with suspected neuropathic pain, including the assessment of motor, sensory, and autonomic phenomena.

3. Identify signs of neurological dysfunction and accurately diagnose and localize the lesion site