Fig. 1: Principles of managing neuropathic pain after spinal cord injury. | Spinal Cord

Fig. 1: Principles of managing neuropathic pain after spinal cord injury.

From: The CanPain SCI clinical practice guidelines for rehabilitation management of neuropathic pain after spinal cord injury: 2021 update

Fig. 1: Principles of managing neuropathic pain after spinal cord injury.

1Note that the anticholinergic effects of tricyclic antidepressants may interfere with bowel or bladder function in SCI. *Second, third, or fourth-line (B,C,D) treatments can be used in any order, after first line treatments are exhausted. Treatment selection will depend on clinician experience, patient preference, tolerability, accessibility, and other relevant factors. CBT Cognitive behavioral therapy, DREZ Dorsal root entry zone, NP Neuropathic pain, SCI Spinal cord injury, tDCS Transcranial direct current stimulation, TENS Transcutaneous electrical nerve stimulation.

Back to article page