Apart from treatment of a syrinx and surgical decompression of a compromised nerve root, there are no current treatments available that can treat the cause of at-level or below-level neuropathic pain. Treatments are therefore largely symptomatic. Unfortunately, there are few controlled trials that have been performed specifically examining the efficacy of treatments for at-level and below-level neuropathic pain. Available studies often have small numbers and therefore conclusions may not be reliable. Treatment is therefore often dependent on extrapolation from other neuropathic pain conditions. A summary of the evidence available on the treatment of at- and below-level neuropathic pain is listed below according to treatment category.
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