Article

Painful diabetic peripheral neuropathy impairs quality of life and
can be difficult to treat. OBJECTIVE: To discuss current treatment
recommendations for painful diabetic peripheral neuropathy. METHODS: Systematic review of the literature discussing
treatment of painful diabetic peripheral neuropathy. Existing treatment
guidelines were studied and compared. RESULTS: Painful diabetic peripheral
neuropathy occurs in about one in six people with diabetes. This condition
impairs quality of life and increases healthcare costs. Treatment recommendations
exist, but individual patient therapy can require a trial-and-error approach.
Many treatment options have adjuvant benefits or side effects which should be
considered prior to initiating therapy. Often, a combination of treatment
modalities with various mechanisms of action is required for adequate pain
control. Adequate medication titration and a reasonable trial period should be
allowed. CONCLUSION: The treatment of painful diabetic peripheral neuropathy can
be challenging, but effective management can improve patient's quality of life.
CLINICAL RELEVANCE: Painful diabetic peripheral neuropathy impairs quality of
life and can be difficult to treat. Many treatment options have adjuvant benefits
or side effects which should be considered prior to initiating therapy. Often, a
combination of treatment modalities with various mechanisms of action is required
for adequate pain control.
CI - (c) The International Society for Prosthetics and Orthotics 2014.

Langue : ANGLAIS