The tool Diagnostic Tool facilitates the diagnosis of patients with chronic pain and allows differentiate Localized Neuropathic Pain (DNL) in order to offer the patient a appropriate therapeutic approach. the learnedr Alfonso Carregalan anesthetist at the Vigo University Hospital Complex (CHUVI) and member of the Spanish Pain Society, affirms that the simplicity of this tool allows, in a few 10 minutesarrive at a correct diagnosis of DNL.
He is that initiated or caused by a primary lesion or dysfunction of the nervous system peripheral or central. The complexity of neuropathic pain difficult to classify and definea situation that it is also repeated in localized neuropathic painan affectation of the peripheral nervous system that belongs to a limited area.
Diagnostic Tool has recently been presented in Galicia in an act that brought together for the first time all regional representatives of medical societies dealing with pain: the Galician Society of Pain and Palliative Care (SGADOR), the Galician Society of Traumatology (SOGACOT), the Galician Society of Rehabilitation (SOGARMEF), the Galician Society of Emergencies (SEMES Galicia), the Spanish Society of Primary Care Physicians of Galicia (SEMERGEN Galicia) and the Spanish Society of General Practitioners of Galicia (SEMG Galicia).
During this presentation, Dr. Carregal highlighted that Diagnostic Tool “is a very sensible and very simple tool, it is about asking and exploring” that allows, in no more than 10 minutes, to reach a correct diagnosis of the Localized Neuropathic Pain. According to the member of the SED, it is so easy to handle that it allows a rapid collection of clinical data for diagnosis. “For Primary Care it is a priority tool”says this specialist.
Debate about pain today
After the presentation, the representatives of the different organizations participated in a debate on the pain approach currently.
In the opinion of the doctor Aurora of the Lopez Churchpresident and anesthetist at the Hospital Universitario A Coruña, “hehe patients who come to the Pain Units arrive after going around for many services. We have to know what each professional can contribute at each moment of the pathology and hence the importance of coordinating and treating pain globally”.
In this sense, Dr. Daniel Rey Aldanapresident Galicia and Primary Care doctor at the A Estrada Health Center, assured that the doctors of Primary Care Due to the lack of communication between the different levels of care, it is late to solve the problem for the patient”. Furthermore, he claimed more pain training for Primary Care doctors in order to be able to offer a correct approach to pain.
In the same vein, the doctor Jose Manuel Galdo Perezpresident and CHUVI traumatologist and doctor Jesus Figueroahead of the Rehabilitation Service of the Hospital Clínico Universitario de Santiago de Compostela, for whom pain is a key point in daily consultations and «cannot be undertreated”.
In this sense, the doctor Carlos Bastida Calvopresident Galicia and Primary Care doctor at the Marín Health Center, stressed that “mMore than 50% of the patients who come to our consultations come for pain. And of them, more than a third consider that they are badly treated”.
The doctor Francisco Aramburu VilarinoHonorary President of Galicia and head of the Emergency Service of the University Hospital Center of Ourense, defended, for his part, the importance of raising awareness of this problem on the part of medical societies, stating that “our training is key. We cannot continue using treatments from many years ago. The evolution is there”.
Finally, the doctor Francisco Xavier Juan Garciapresident of and head of the CHUVI Rehabilitation Service, also defended the coordination between healthcare professionals “Complementary management between the different specialists is key”.