Diabetic Peripheral Neuropathic Pain: Evaluating Treatment Options
Painful diabetic neuropathy is estimated to affect one-quarter of patients with diabetes, and rates are increasing along with the prevalence of diabetes in the United States.
|The following article features coverage from PAINWeek 2017 in Las Vegas, Nevada. Click here to read more of Clinical Pain Advisor's conference coverage.|
LAS VEGAS – In a presentation at PAINWeek 2017, held September 5-9 in Las Vegas, Nevada, Ramon L. Cuevas-Trisan, MD, chief of the physical medicine, rehabilitation & pain management service at West Palm Beach VA Medical Center in Florida, covered the evaluation and management of diabetic peripheral neuropathic (DPN) pain.1
Painful diabetic neuropathy is estimated to affect one-quarter of patients with diabetes, and rates are increasing along with the prevalence of diabetes in the United States — currently approaching 10% of the population, with a 5% annual growth.2,3 Adequate evaluation and diagnosis of DPN pain are essential. “There are no direct diagnosing methods, only indirect examination methods, together with the patient's complaints,” Dr Cuevas-Trisan told Clinical Pain Advisor. Diagnosis is based on the patient's history of neuropathic pain, combined with findings on examination that indicate deficits associated with neuropathy, such as decreased or altered sensation, atrophy, and intermittent or continuous pain with a distal-to-proximal (“stocking-and-glove”) distribution that is often symmetrical and may worsen at night.
For pharmacological treatment of painful diabetic neuropathy, the most robust evidence exists for tricyclic antidepressants, pregabalin, duloxetine, and venlafaxine.
Dr Cuevas-Trisan is a member of Allergan's speakers' bureau.
Read more of Clinical Pain Advisor's coverage of PAINWeek 2017 by visiting the conference page.
- Cuevas-Trisan R. Diabetic peripheral neuropathic pain: evaluating treatment options. Presented at Pain Week 2017; September 5-9, 2017; Las Vegas, Nevada.
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