Walking with Neuropathic Pain: Paradoxical Shift from Burden to Support?
Baclofen 5% cream can be used for the treatment of neuropathic pain. We describe an unusual case of a neuropathic pain patient with spinal cord injury. A 71-year-old woman with a partial spinal cord injury lesion at L4 complained of tingling, pins and needles, and burning in her legs. She scored her...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2015/764950 |
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| author | David J. Kopsky Jan M. Keppel Hesselink Roberto Casale |
| author_facet | David J. Kopsky Jan M. Keppel Hesselink Roberto Casale |
| author_sort | David J. Kopsky |
| collection | DOAJ |
| description | Baclofen 5% cream can be used for the treatment of neuropathic pain. We describe an unusual case of a neuropathic pain patient with spinal cord injury. A 71-year-old woman with a partial spinal cord injury lesion at L4 complained of tingling, pins and needles, and burning in her legs. She scored her pain as 6 before adding baclofen 5% cream to her pain medication (pregabalin 450 mg, acetaminophen 3000 mg, and diclofenac 150 mg daily). One month later she experienced complete pain relief, though experienced increased difficulties in walking, leading to frequent falls. Her steadier walking without stumbling and falling was more important to her than pain reduction. Thus she decided to stop using baclofen. This unusual case report discusses two important issues that relate to pain medicine and rehabilitation in patients with painful spinal cord lesions: (1) the presence of wide areas of sensory loss “covered” by the presence of painful sensations and (2) pathological sensations that can be used and integrated in the body schema to create an improved spatiovisual orientation and thus mobility. Both these aspects have to be taken into account when treating pain and design rehabilitation programs. |
| format | Article |
| id | doaj-art-4504deb169a6442b9a5b562a104bac2f |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-4504deb169a6442b9a5b562a104bac2f2025-02-03T06:06:24ZengWileyCase Reports in Medicine1687-96271687-96352015-01-01201510.1155/2015/764950764950Walking with Neuropathic Pain: Paradoxical Shift from Burden to Support?David J. Kopsky0Jan M. Keppel Hesselink1Roberto Casale2Institute for Neuropathic Pain, Vespuccistraat 64-III, 1056 SN Amsterdam, NetherlandsInstitute for Neuropathic Pain, Spoorlaan 2a, 3735 MV Bosch en Duin, NetherlandsHabilita, Care & Research Rehabilitation Hospitals, Via Bologna 1, 24040 Zingonia, ItalyBaclofen 5% cream can be used for the treatment of neuropathic pain. We describe an unusual case of a neuropathic pain patient with spinal cord injury. A 71-year-old woman with a partial spinal cord injury lesion at L4 complained of tingling, pins and needles, and burning in her legs. She scored her pain as 6 before adding baclofen 5% cream to her pain medication (pregabalin 450 mg, acetaminophen 3000 mg, and diclofenac 150 mg daily). One month later she experienced complete pain relief, though experienced increased difficulties in walking, leading to frequent falls. Her steadier walking without stumbling and falling was more important to her than pain reduction. Thus she decided to stop using baclofen. This unusual case report discusses two important issues that relate to pain medicine and rehabilitation in patients with painful spinal cord lesions: (1) the presence of wide areas of sensory loss “covered” by the presence of painful sensations and (2) pathological sensations that can be used and integrated in the body schema to create an improved spatiovisual orientation and thus mobility. Both these aspects have to be taken into account when treating pain and design rehabilitation programs.http://dx.doi.org/10.1155/2015/764950 |
| spellingShingle | David J. Kopsky Jan M. Keppel Hesselink Roberto Casale Walking with Neuropathic Pain: Paradoxical Shift from Burden to Support? Case Reports in Medicine |
| title | Walking with Neuropathic Pain: Paradoxical Shift from Burden to Support? |
| title_full | Walking with Neuropathic Pain: Paradoxical Shift from Burden to Support? |
| title_fullStr | Walking with Neuropathic Pain: Paradoxical Shift from Burden to Support? |
| title_full_unstemmed | Walking with Neuropathic Pain: Paradoxical Shift from Burden to Support? |
| title_short | Walking with Neuropathic Pain: Paradoxical Shift from Burden to Support? |
| title_sort | walking with neuropathic pain paradoxical shift from burden to support |
| url | http://dx.doi.org/10.1155/2015/764950 |
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