TY - CHAP M1 - Book, Section TI - Chapter 37. Polyneuropathy A1 - Raynor, Elizabeth M. A1 - Kleiner-Fisman, Galit A2 - Warfield, Carol A. A2 - Bajwa, Zahid H. PY - 2004 T2 - Principles & Practice of Pain Medicine, 2e AB - Painful polyneuropathy 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 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 polyneuropathy 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 polyneuropathy. In these cases, pain management specialists may work in concert with neurologists to provide a comprehensive treatment approach. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/03/28 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=3415623 ER -