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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.

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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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