Abstract
Peripheral neuropathic pain is among the most prevalent types of neuropathic pain.
No comprehensive peripheral neuropathic pain classification system that incorporates
contemporary clinical, diagnostic, biological, and psychological information exists.
To address this need, this article covers the taxonomy for 4 focal or segmental peripheral
neuropathic pain disorders, as part of the Analgesic, Anesthetic, and Addiction Clinical
Trial Translations, Innovations, Opportunities, and Networks (ACTTION) public-private
partnership and the American Pain Society (APS) collaborative to develop a standardized,
evidence-based taxonomy initiative: the ACTTION-APS Pain Taxonomy (AAPT). The disorders—postherpetic
neuralgia, persistent posttraumatic neuropathic pain, complex regional pain disorder,
and trigeminal neuralgia—were selected because of their clinical and clinical research
relevance. The multidimensional features of the taxonomy are suitable for clinical
trials and can also facilitate hypothesis-driven case-control and cohort epidemiologic
studies.
Perspective
The AAPT peripheral neuropathic pain taxonomy subdivides the peripheral neuropathic
pain disorders into those that are generalized and symmetric and those that are focal
or segmental and asymmetric. In this article, we cover the focal and segmental disorders:
postherpetic neuralgia, persistent posttraumatic neuropathic pain, complex regional
pain disorder, and trigeminal neuralgia. The taxonomy is evidence-based and multidimensional,
with the following dimensions: 1) core diagnostic criteria; 2) common features; 3)
common medical and psychiatric comorbidities; 4) neurobiological, psychosocial, and
functional consequences; and 5) putative neurobiological and psychosocial mechanisms,
risk factors, and protective factors.
Key words
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Article info
Publication history
Published online: December 04, 2018
Footnotes
All authors (R.F., R.E., R.B., S.B., G.C., R.H.D., and S.H.) contributed equally to this manuscript.
Support was provided by the Analgesic, Anesthetic, and Addiction Clinical Trial Translations, Innovations, Opportunities, and Networks (ACTTION) public-private partnership with the US Food and Drug Administration (FDA), which has received contracts, grants, and other revenue for its activities from the FDA, multiple pharmaceutical and device companies, and other sources. A complete list of current ACTTION sponsors is available at: http://www.acttion.org/partners.
The authors have no conflicts of interest to declare. The views expressed in this article are those of the authors. No official endorsement by the FDA should be inferred.
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© Published by Elsevier Inc. on behalf of the American Pain Society
