Good morning:
I hope the day started nicely for you all.

I found this in a German website: https://www.neuro.med.tu-muenchen.de/dfns/uns/e_portrait.html#NP

The current treatment algorithms of neuropathic pain take into consideration (1) to cure the original cause of the pain, (2) to achieve complete or at least partial analgesia by pharmacological and non-pharmacological strategies and (3) to improve pain coping by psychological treatment strategies. Traditionally pharmacological studies have been directed towards a specific disease entity rather than specific signs or symptoms. Management of patients based on their disease state, however, is probably not the most effective way to address specific neuropathic pain signs and symptoms.
Various different pathophysiological mechanisms can coexist in one disease entity in various combinations and may also be present in one single individual. Thus, drug regimens should be targeted towards the underlying mechanism responsible for the observed and reported findings. For example, patients with allodynia would be expected to respond to similar treatment, although the pathogenesis giving rise to it may reflect a multitude of diverse disorders such as diabetic neuropathy, post-herpetic neuralgia, or nerve entrapment. This approach is appropriate since precipitating changes in the nervous system would be expected to be similar for those suffering from allodynia and therefore therapy should likewise be comparable.

Thus it is an important step to establish a future mechanism-based drug therapy of neuropathic pain. If it would be possible to characterize the concert of the distinct mechanisms that operate in one individual patient, an optimal polypharmacotherapy that addresses the specific combination of mechanisms may be established for each patient. This concept is realized in the development of the Neuropathic Pain Data Bank of the DFNS: it defines neuropathic pain symptoms - independent of the etiology - and will then proceed to treat these symptoms with combinations of various substance classes.

My questions: Does any person have tried this "non-pharmacological strategies and (3) to improve pain coping by psychological treatment strategies"?

Have a good day.

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