Monday, September 19th
1:00pm-4:30pm EDT


Refresher Course


Chronic pain: Other


601 A

Physical Examination of the Patient with Neuropathic Pain: Pearls and Pitfalls

This refresher course is intended to provide clinicians and basic scientists interested in practical aspects of neuropathic pain diagnosis with a critical, real-life and evidence-based approach to the challenges in diagnosing and interpreting confirmatory tests for neuropathic pain. Emphasis will be given to practical history taking and physical examination of patients with didactic films, showing manoeuvres and signs that carry high diagnostic value in the differentiation of neuropathic pain from other chronic pain syndromes. Then, neurophysiological tests frequently ordered for these patients such as nerve conduction tests and laser evoked potentials will be explained, their main indications and short-comings will be discussed and real-life examples will be presented. Then practical aspects of skin biopsy will be discussed such as the proper region to perform them, how are result of intra-epidermal nerve fibre density interpreted and contextualized in a patient-centered perspective. At the end, an overview of how data from the clinical encounter, from neurophysiology tests and from nerve fibre counting can help detect potential responders to specific treatment choices based on the current scientific knowledge and recommendations.


Professor Daniel C De Andrade

Faculty of Medicine, Aalborg University