TY - CHAP M1 - Book, Section TI - Peripheral Neuropathies A1 - Wong, Edison H. A1 - Bajwa, Zahid H. A2 - Bajwa, Zahid H. A2 - Wootton, R. Joshua A2 - Warfield, Carol A. PY - 2016 T2 - Principles and Practice of Pain Medicine, 3e AB - Painful polyneuropathy (PN) is a debilitating neurologic problem and frequently a challenging therapeutic management issue. Difficulties in managing patients are too often the result of poor understanding of their problem on the part of the treating physician. Many physicians assume that there is no need to work up neuropathy because the final outcome is likely to be an idiopathic, axonal disorder for which there is no effective therapy. In fact, many neuropathies are responsive to immunosuppressive and other conservative therapies. Although responses to such therapy constitute the minority, they should be vigorously sought before telling patients there is no treatment for their progressive disorder. In many cases, treatment of the PN also leads to improved pain control; however, pain is often a primary issue in and of itself and must be treated irrespective of the potential for improvement of the underlying PN. In these cases, pain management specialists may work in concert with neurologists to provide a comprehensive treatment approach. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/11/12 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1131934380 ER -