A Review of the Clinical and Therapeutic Implications of Neuropathic Pain
Eleonora Balzani,
Andrea Fanelli,
Valentina Malafoglia,
Michael Tenti,
Sara Ilari,
Annette Corraro,
Carolina Muscoli,
William Raffaeli
Affiliations
Eleonora Balzani
Department of Medicine and Surgery, University of Turin, 10124 Torino, Italy
Andrea Fanelli
Anesthesia, Intensive Care and Pain Therapy Unit, Department of Emergency and Urgency, Istituto ad Alta Specializzazione Policlinico di Monza, Via Amati 111, 20900 Monza, Italy
Valentina Malafoglia
ISAL Foundation Institute for Research on Pain, 47922 Rimini, Italy
Michael Tenti
ISAL Foundation Institute for Research on Pain, 47922 Rimini, Italy
Sara Ilari
Department of Health Science, Institute of Research for Food Safety & Health (IRC-FSH), University “Magna Graecia” of Catanzaro, Viale Europa, Loc. Germaneto, 88100 Catanzaro, Italy
Annette Corraro
Faculty of Social and Behavioural Sciences, Leiden University, 2311 Leiden, The Netherlands
Carolina Muscoli
Department of Health Science, Institute of Research for Food Safety & Health (IRC-FSH), University “Magna Graecia” of Catanzaro, Viale Europa, Loc. Germaneto, 88100 Catanzaro, Italy
William Raffaeli
ISAL Foundation Institute for Research on Pain, 47922 Rimini, Italy
Understanding neuropathic pain presents several challenges, given the various mechanisms underlying its pathophysiological classification and the lack of suitable tools to assess its diagnosis. Furthermore, the response of this pathology to available drugs is still often unpredictable, leaving the treatment of neuropathic pain still questionable. In addition, the rise of personalized treatments further extends the ramified classification of neuropathic pain. While a few authors have focused on neuropathic pain clustering, by analyzing, for example, the presence of specific TRP channels, others have evaluated the presence of alterations in microRNAs to find tailored therapies. Thus, this review aims to synthesize the available evidence on the topic from a clinical perspective and provide a list of current demonstrations on the treatment of this disease.