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Table 6-1

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