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francesco fErraro 1 *, Marco JacopEtti 2,
Vincenza spalloNE 3, luca padua 4, 5, Marco traballEsi 6, stefano bruNElli 6, cristina caNtarElla 7, cristina ciotti 7, daniele coraci 8, Elena dalla toffola 9, 10, silvia MaNdriNi 9, Giovanni MoroNE 6, costanza paZZaGlia 5,
Marcello roMaNo 11, angelo schENoNE 12, rossella toGNi 9, stefano taMburiN 13
on behalf of the italian consensus conference on pain in Neurorehabilitation (iccpN)
1section of Neuromotor rehabilitation, department of Neuroscience, asst carlo poma, Mantova, italy; 2university of parma, parma, italy; 3department of systems Medicine, university of tor Vergata, rome, italy; 4department of Geriatrics, Neurosciences and orthopaedics, catholic university, rome, italy; 5don carlo Gnocchi foundation, Milan, italy; 6irccs santa lucia foundation, rome, italy; 7physical and rehabilitation Medicine unit, university of tor Vergata, rome, italy; 8department of orthopedics, sapienza university, rome, italy; 9department of clinical, surgical, diagnostic and pediatric sciences, university of pavia, pavia, italy; 10physical Medicine and rehabilitation unit, irccs policlinico san Matteo foundation, pavia, italy; 11Neurology Unit, Villa So a Cervello hospitals, palermo, italy; 12department of Neuroscience, rehabilitation, ophthalmology, Genetics, and Maternal and child health (diNoGMi), university of Genoa, Genoa, italy; 13department of Neurosciences, biomedicine and Movement sciences, university of Verona, Verona, italy
*corresponding author: francesco ferraro, section of Neuromotor rehabilitation, department of Neuroscience, asst carlo poma, presidio di riabilitazi- one Multifunzionale di bozzolo, Via XXV aprile 71, 46012 bozzolo (MN), italy. E-mail: francesco.ferraro@asst-mantova.it

Abstract

Pain may affect all aspects of social life and reduce the quality of life. Neuropathic pain (Np) is common in patients affected by plexopathy, radiculopathy, mononeuropathy, peripheral neuropathy. phantom limb pain (plp) is a painful sensation that is common after amputation, and its pathophysiological mechanisms involve changes in the peripheral and central nervous system. Given the lack of conclusive evidence and speci c guidelines on these topics, the aim of the italian consensus conference on pain on Neurorehabilitation (iccpN) was to collect evidence and offer recommendations to answer currently open questions on the assessment and treatment of Np associated with the above conditions and plp. When no evidence was available, recommendations were based on consensus between expert opinions. current guidelines on the assessment and pharmacological treatment of Np can be applied to plexopathy, radiculopathy, mononeuropathy, peripheral neuropathy, while evidence for invasive treatments and physical therapy is generally poor because of the low quality of studies. treatment of plp is still unsatisfactory. data on the functional outcome and impact of pain on neurorehabilitation outcome in these conditions are lacking. in most cases, a multidisciplinary approach is recommended to offer a better outcome and reduce side effects. high quality studies are requested to address the unmet needs in this eld.
(Cite this article as: ferraro f, Jacopetti M, spallone V, padua l, traballesi M, brunelli s, et al.; italian consensus conference on pain in Neurore- habilitation (iccpN). diagnosis and treatment of pain in plexopathy, radiculopathy, peripheral neuropathy and phantom limb pain. Evidence and recommendations from the italian consensus conference on pain on Neurorehabilitation. Eur J phys rehabil Med 2016;52:855-66)
Key words: pain – brachial plexus neuropathies – radiculopathy – Mononeuropathies – peripheral nervous system diseases – phantom limb

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