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Diagnosis and treatment of neuropathic pain.

J Pain Symptom Manage

May 2003

Department of Neurology, King's College Hospital, London, and The Medway Hospital, Gillingham, Kent, UK.

Currently, no consensus on the optimal management of neuropathic pain exists and practices vary greatly worldwide. Possible explanations for this include difficulties in developing agreed diagnostic protocols and the coexistence of neuropathic, nociceptive and, occasionally, idiopathic pain in the same patient. Also, neuropathic pain has historically been classified according to its etiology (e.

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