Abstract

Neuropathic pain is an important problem because of its complex natural history, unclear etiology, and poor response to standard physical therapy modalities. It causes severe disability unrelated to its etiology. The primary goal of neuropathic pain management is to investigate the underlying cause, to make the differential diagnosis, to eliminate risk factors, and to reduce pain. The physician should also be aware of functional, and psychological conditions of the patient. Therefore, a multimodal management plan in neuropathic pain is essential. In this article, we aimed to reflect a diverse point of view about various physical therapy modalities and rehabilitation techniques. For this purpose, we searched articles about physical therapy modalities and rehabilitation techniques in PubMED database and presented various studies according to their relevance. New rehabilitation techniques seem promising however there is a requirement for more randomized controlled trials with larger patient groups. In this review, we suggest that physical therapy modalities and rehabilitation techniques are very important options and must be considered with pharmacotherapy.

Highlights

  • Physical Therapy ModalitiesPhysical therapymodalities include pain modulators like hot and cold packs, ultrasound, short wave diathermy, low frequency currents (TENS, diadynamic currents, interferential currents), high voltage galvanic stimulation, laser and neurostimulation techniques like deep brain stimulation and transcranial magnetic stimulation (Table 2)

  • Neuropathic pain is an important problem because of its complex natural history, unclear etiology, and poor response to standard physical therapy modalities

  • There are some consequences associated with neuropathic pain like deterioration in sexual and marital life and family relationships which lead to social isolation

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Summary

Physical Therapy Modalities

Physical therapymodalities include pain modulators like hot and cold packs, ultrasound, short wave diathermy, low frequency currents (TENS, diadynamic currents, interferential currents), high voltage galvanic stimulation, laser and neurostimulation techniques like deep brain stimulation and transcranial magnetic stimulation (Table 2). Hot and cold applications can be used together as in contrast baths. Sometimes fluidotherapy or whirlpool can be chosen for this purpose. In all these superficial heat agents should not be applied in high degrees, due to possible risk of increase in pain.

Peripheral Causes of Neuropathic pain
Chronic pain
Rehabilitation Techniques
Graded Motor Imagery Visual Illusion

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