Abstract:
:Topical treatments of localized neuropathic pain syndromes in general are mostly neglected, mainly due to the fact that most pain physicians expect that a topical formulation needs to result in a transdermal delivery of the active compounds. On the basis of the practical experience, this study brings forth a new, somewhat neglected element of the vulvodynia pathogenesis: the cross talk between the nerve endings of nociceptors, the adjacent immunocompetent cells, and vaginal epithelial cells. Insight into this cross talk during a pathogenic condition supports the treatment of vulvodynia with topical (compounded) creams. Vulvodynia was successfully treated with an analgesic cream consisting of baclofen 5% together with the autacoid palmitoylethanolamide 1%, an endogenous anti-inflammatory compound. In this review, data is presented to substantiate the rationale behind developing and prescribing topical products for localized pain states such as vulvodynia. Most chronic inflammatory disorders are based on a network pathogenesis, and monotherapeutic inroads into the treatment of such disorders are obsolete.
journal_name
J Pain Resjournal_title
Journal of pain researchauthors
Keppel Hesselink JM,Kopsky DJ,Sajben Ndoi
10.2147/JPR.S115407subject
Has Abstractpub_date
2016-10-03 00:00:00pages
757-762issn
1178-7090pii
jpr-9-757journal_volume
9pub_type
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journal_title:Journal of pain research
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journal_title:Journal of pain research
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journal_title:Journal of pain research
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journal_title:Journal of pain research
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journal_title:Journal of pain research
pub_type: 杂志文章
doi:10.2147/JPR.S196480
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journal_title:Journal of pain research
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journal_title:Journal of pain research
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pub_type: 杂志文章
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