Neuropathic pain – case study

Introduction: In 2017, 2265 outpatients were treated in our hospital, 632 of which had neuropathic pain. Neuropathic pain is a type of chronic pain caused by damage and illness of the nervous system- central and peripheral; unlike acute pain, it does not have protective function and can be caused by diabetes, damage to nerves or the spinal cord, multiple sclerosis or as a side-effect of a stroke, malignity etc. Aim: Due to significant deterioration of the patient'squality of life, physical ailments and chronic painare joined by somatic and psychosocial consequences which affect the patient and those living in his environment. Symptoms of neuropathic pain: paresthesia, dysesthesia, hyperalgesia, allodynia etc. Considering the frequency of the aforementioned, in my paper I will present the order of physical procedures and medical therapy. Material and methods: Patient M. Lj, aged 79 admitted to hospital for medical rehabilitation due to years-long pain in the lumbar-sacral region with propagation along left leg, thus causing severe walking difficulties. The pain has grown intense in the past few months. She was treated by a neurologist and a physiatrist in a local clinic; X-ray performed with diagnosis of spondylosis def. vert. thoracolumb, narrowing i.v.L5Sl. RadiculopathhiaL5Sl 1. bill.pp.l.sin. After being admitted to our hospital, NMR DH Li/L2.Rethrolishesis L1grl Spondylosiset scoliosis def.NH: no surgical treatment was indicated. Obj. severe difficulty moving, with antalgic gait and pain in all phases of movement. Paravertebral musculature of the LS region is tense, with reduced movement capability, painful in the AFsense, test of PP pos. 45cm Lazarevic left positive on 60°, PP walk impaired due to pain. PR and AR sim. Muscle strength graded 3 per MMT globally for LN musculature. Paresthesia along Ls dermatome. Sphincters controlled. Pain dominates the clinical picture, 7-8 on a VAS scale. Results: On the examination three months later, the pain is 1-2 on the VAS scale, no neurological occurence, life ...