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Airing Pain 115: Neuropathic Pain 1 of 2: Targeted pain management programmes

Explor­ing neu­ro­path­ic pain and the var­i­ous ways it can be managed

Under­stand­ing the dif­fer­ences between neu­ro­path­ic and non-neu­ro­path­ic pain, and the var­ied respons­es they demand. In this edi­tion of Air­ing Pain, Paul Evans inves­ti­gates the ideas behind Pain Man­age­ment Pro­grammes, and high­lights the impor­tance of the patient in shap­ing their own treatment.

Inter­na­tion­al­ly recog­nised Pro­fes­sor Srini­vasa Raja speaks to Paul about the dif­fer­ences between noci­cep­tive and neu­ro­path­ic pain, as well as the com­plex­i­ties of chron­ic pain and its management.

Con­sul­tant Clin­i­cal Psy­chol­o­gist, Dr Clare Daniel exam­ines the psy­cho­log­i­cal and social com­po­nents of chron­ic pain. She dis­cuss­es the impor­tant role of the cog­ni­tive behav­iour­al mod­el in Pain Man­age­ment Programmes.

Paul speaks to lead phys­io­ther­a­pist Diar­muid Den­neny about the impor­tance of the patient in deter­min­ing the appro­pri­ate response to their pain, by tak­ing into account their life and per­son­al aspirations.

Final­ly, Cameron Rashide, a patient with neu­ro­path­ic pain among oth­er con­di­tions, speaks of the pain man­age­ment tech­nique ‘pac­ing’ and how she has learnt to man­age her pain through push­ing her­self ever so slight­ly out­side her com­fort zone.

Issues cov­ered in this pro­gramme include: After a stroke, post-her­pet­ic neu­ral­gia, shin­gles, post-sur­gi­cal pain, brain sig­nals, emo­tions, exer­cise, loss of sen­sa­tion, mind­ful­ness, ner­vous sys­tem, neu­ro­path­ic pain, noci­cep­tive pain, numb­ness, pac­ing, psy­chol­o­gy, tis­sue injury and trigem­i­nal neuralgia.


  • Dr Clare Daniel, Con­sul­tant Clin­i­cal Psy­chol­o­gist, Buck­ing­hamshire Health­care NHS Trust
  • Diar­muid Den­neny, Phys­io­ther­a­py Lead at the Nation­al Hos­pi­tal for Neu­rol­o­gy and Neu­ro­surgery Pain Man­age­ment Cen­tre in London
  • Pro­fes­sor Srini­vasa Raja, Johns Hop­kins School of Med­i­cine, USA
  • Cameron Rashide, patient who lives with chron­ic pain.

More Infor­ma­tion:


Ms Felicia Cox

Excel­lent descrip­tion of biopsy­choso­cial approach­es to pain with a clear focus on the dif­fer­ence between acute (noci­cep­tive) pain that occurs after an injury as a pro­tec­tive mech­a­nism and neu­ro­path­ic pain that aris­es from an injury with­in the ner­vous sys­tem (after shin­gles or a stroke). Dr Clare Daniel’s overview of patien­t’s beliefs and tech­niques employed by psy­chol­o­gists work­ing with­in pain spe­cial­ist teams was easy to under­stand and expert­ly deliv­ered. Diar­muid clear­ly out­lined the approach­es that phys­io­ther­a­pists work­ing in pain utilise and the goal set­ting and pac­ing that is required to improve cop­ing and func­tion. Great to hear from a ser­vice user about the pos­i­tive impact a biopsy­choso­cial approach to man­ag­ing pain can achieve.

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