Characteristics of Somatic and Neuropathic Pain
Somatic pain Nociceptive stimulus usually evident Usually well localized Similar to other somatic pains in pt's experience Relieved by anti-inflammatory or narcotic analgesics |
Visceral pain Most commonly activated by inflammation Pain poorly localized and usually referred Associated with diffuse discomfort, e.g., nausea, bloating Relieved by narcotic analgesics |
Neuropathic pain No obvious nociceptive stimulus Associated evidence of nerve damage, e.g., sensory impairment, weakness Unusual, dissimilar from somatic pain, often shooting or electrical quality Only partially relieved by narcotic analgesics; may respond to antidepressants or anticonvulsants |