šŸŽ™ļø Have you ever treated someone with what seemed like a typical MSK problemā€”but the pain just didnā€™t add up? Burning, zinging, unpredictable symptoms? In this episode, Mark Kargela breaks down the clinical presentation of neuropathic pain, how to screen for it confidently, and 4 common mistakes that lead to missed diagnoses.

āœ… Learn how to distinguish neuropathic from nociceptive and nociplastic pain
āœ… Use simple tools like a paperclip and a coin to screen for small fiber dysfunction
āœ… Understand how to palpate nerves (not trigger points) and recognize their sensitivity
āœ… Get clarity on terms like somatic referred pain, radicular pain, and radiculopathy

šŸ“„ Download the free Neuropathic Pain Screening Cheat Sheet here:
šŸ‘‰ https://modernpaincare.com/neuropathic

šŸ“ƒ Related Papers:
Terminology IASP paper - https://journals.lww.com/10.1097/j.pain.0000000000002919
Validity of Small Fiber Tests - https://www.jospt.org/doi/10.2519/jospt.2018.8230
Neuropathic pain grading system - https://journals.lww.com/pain/fulltext/2016/08000/neuropathic_pain__an_updated_grading_system_for.7.aspx

00:00 Introduction to Small Fiber Dysfunction
14:41 Whiplash Associated Disorder and Small Fiber Dysfunction
15:02 Simple Diagnostic Tools: The Paperclip Test
15:23 Thermal Detection with Coins
15:44 Cold Detection Procedure
16:18 Warm Detection Procedure
#NeuropathicPain #PainScience #PhysicalTherapy #ClinicalAssessment #ModernPainPodcast #NervePain #SmallFiberTesting #PinprickTest #PTPodcast #Radiculopathy

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness