Neuropathic Pain and Lumbar Spinal Column Injuries: A Chronic Perspective

Background: Neuropathic pain commonly occurs as a consequence of spinal cord injuries, manifesting as persistent and often debilitating pain sensations resulting from damage or dysfunction of the nervous system within the spinal column. This systematic review aimed to analyze existing guidelines on rehabilitation interventions for neuropathic pain and clarify their significance. Methodology: A comprehensive search of literature was performed using the databases Google Scholar, Microsoft Academic, and PubMed. The inclusion criteria encompassed research articles written in Greek, English, and French languages, while articles that were not directly relevant to the subject of investigation were excluded. Results: A systematic review of published guidelines on rehabilitation interventions for neuropathic pain to elucidate their significance. While some interventions, such as TENS therapy, physiotherapy, and psychological interventions, have been proposed, the core approach to managing neuropathic pain lies in the implementation of comprehensive multidisciplinary interventions that address all the various aspects affected by this chronic and highly disabling condition. It is worth noting the limited literature examining the role of rehabilitation specifically in patients with neuropathic pain, with a focus on individual interventions solely targeting the treatment of neuropathic pain. Conclusions: Neuropathic pain has significant effects not only on the injuries of the lumbar spine, but also on subsequent functions. Therefore, the involvement of a specialist focused on managing and restoring functional impairments is necessary. This role can be fulfilled by a physical therapist who specializes in addressing the functional issues associated with the patient’s condition. Physiotherapists should employ a multiprofessional and multidisciplinary approach, collaborating closely with various healthcare professionals involved in the patient’s management to ensure optimal pain management.