Central neuropathic pain
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged >= 18 years; 2. Central neuropathic pain affecting the upper and/or lower extremities; 3. Meet the NeuPSIG (International Association for the Study of Pain Neuropathic Pain Special Interest Group) diagnostic criteria for central neuropathic pain: (1) Meets all mandatory criteria: 1) The site of pain corresponds to a central nervous system lesion; 2) A clear history of neurological disease; 3) History of spinal cord injury, stroke, multiple sclerosis, or other CNS pathology confirmed by imaging (e.g., CT, MRI, neurophysiological or biochemical examinations); 4) Exclusion of other causes of pain (e.g., musculoskeletal pain due to spasticity, myofascial shoulder pain, heterotopic ossification, overuse syndrome, other musculoskeletal pain, visceral pain, and peripheral neuropathic pain); (2) At least 1 supporting criterion exists: 1) No primary relationship to exercise, inflammation, or other local tissue injury; 2) Presence of descriptors such as burning pain, cold tingling, electric shock, pain, pressure, numbness, and pins and needles. 3) The presence of abnormal pain or dullness of sensation to touch or cold; 4. Spontaneous pain of intensity =4 on the 0-10 Numerical Rating Scale (NRS).
Exclusion criteria
Exclusion criteria: 1. Inability or unwillingness to provide informed consent; 2. Severe mental or cognitive impairment; 3. Moderate to severe renal or hepatic failure; 4. The presence of other diagnoses that could explain neuropathic pain; 5. Contraindication to treatment with warfarin or other anticoagulants as regional anesthesia; 6. Pregnancy or breastfeeding.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Reduction in Numeric Rating Scales score for spontaneous pain; | — |
Secondary
| Measure | Time frame |
|---|---|
| Neuropathic pain symptom scale score;Activities of daily living ability (modified Barthel index);Sensory test score;Intent to reinject;Willingness to recommend the program to others; | — |
Countries
China
Contacts
Yongchuan Hospital of Chongqing Medical University