Infusion Therapy in the Treatment of Neuropathic Pain

Curr Pain Headache Rep. 2022 Sep;26(9):693-699. doi: 10.1007/s11916-022-01071-5. Epub 2022 Jul 6.

Abstract

Purpose of review: Neuropathic pain is a prevalent and burdensome condition. While oral medical therapies are the first-line treatment for refractory neuropathic pain, in some cases, infusion therapy may be employed. This article is a systematic review of recent publications regarding epidemiologic, pathophysiologic, diagnostic, and therapeutic advancements in the treatment of neuropathic pain using intravenous infusion therapy. Special consideration will be given to relevant and practically used agents and available information on outcomes.

Recent findings: Individuals with neuropathic pain from various etiologies (e.g. trigeminal neuralgia, post-herpetic neuralgia, diabetic neuropathy) often find short-term relief from infusion therapies. However, it is difficult to generalize the findings of these studies to form a standard treatment regimen. The purpose of this paper is to provide clinicians an up-to-date summary of recent literature regarding several infusion therapies in treating neuropathic pain.

Keywords: Infusion therapy; Ketamine; Lidocaine; Magnesium; Neuropathy; Vitamin B12.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Diabetic Neuropathies*
  • Humans
  • Infusions, Intravenous
  • Neuralgia* / drug therapy
  • Neuralgia* / etiology
  • Neuralgia, Postherpetic* / drug therapy
  • Trigeminal Neuralgia*