1. Acute Neuropathic Pain:
A Neglected Issue!
Stephan A Schug
Anaesthesiology
University of Western Australia
Pain Medicine
Royal Perth Hospital
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2. Typical Neuropathic Pain Syndromes
Peripheral neuropathies
Metabolic: diabetic,
Toxic: alcohol, chemotherapy, others
Postinfectious: acute shingles, PHN (post-herpetic neuralgia), HIV, CMV (cytomegalovirus)
Posttraumatic
​Sciatica
Neuroma or nerve entrapment
​Phantom limb pain
​CRPS (complex regional pain syndrome)
​Postsurgery
​​Posttrauma
​Burns pain !!!!!
​​Spinal cord injury
Post-stroke pain
​MS (multiple sclerosis)

3. Treatment of Acute Neuropathic Pain
Opioids (including tramadol/tapentadol) play a more important role than in the chronic setting (fast onset!)
Pregabalin (more than gabapentin) is recommended over tricyclics and SNRIs (faster onset! quick titration!)
But tricyclics and SNRIs can also be used
SNRI: serotonin–norepinephrine reuptake inhibitor
Some of the medications listed above may not be approved in all countries for the treatment of neuropathic pain. Please refer to the Product Information (labelling) in your country.
Macintyre & Schug Acute Pain Management: A Practical Guide. 4th ed.
Boca Raton: CRC Press; 2015.

4. Schug et al. Acute Pain Management: Scientific Evidence;
ANZCA & FPMANZCA Melbourne 2015.