Neuropathic Pain Assessment Tool

Neuropathic pain is nerve pain that can occur when the nervous system is damaged or dysfunctional. Any of the various levels of the nervous system, including the peripheral nerves, the spinal cord and the brain, can be the cause of pain. The central nervous system consists of the spinal cord and the brain. Peripheral nerves are the nerves that spread throughout the rest of the body to places such as organs, arms, legs, fingers and toes.
Damaged nerve fibers send wrong signals to pain centers throughout the body, causing neuropathic pain. Nerve function can be altered at the site of nerve damage and in areas of the central nervous system.

One of the most preferred tools by doctors to assess neuropathic pain is the DN4 Neuropathic Pain Assessment Tool.

DN4 Neuropathic Pain Assessment

Patient Interview

1. Does the pain have one or more of the following characteristics?
Burning
Painful cold
Electric shocks
2. Is the pain associated with one or more of the following symptoms in the same area?
Tingling
Pins and needles
Numbness
Itching

Clinical Examination

3. Is the pain located in an area where examination may reveal one or more of the following?
Hypoesthesia to touch
Hypoesthesia to pinprick
4. In the painful area, can the pain be caused or increased by brushing?
Brushing