A holistic approach is often needed to treat neuropathic pain. Physiotherapy, modifications to work and home environment, and psychological therapies are important aspects of patient care.
Medical therapy is dependent on the underlying cause of pain, as addressing the underlying cause is an important component of treatment.
Regular painkillers are ineffective in neuropathic pain. Recommended first line neuropathic pain treatment is with antidepressants (e.g. amitriptyline and duloxetine) or antiepileptics (e.g. gabapentin and pregabalin).
Other treatments include topical therapies (e.g. capsaicin or lidocaine) and nerve blocks. Medicinal cannabis can be considered when first line therapies have not achieved adequate symptom control.