• Pain initiated or caused by a primary lesion in the central or peripheral nervous system
• Lesion can be microscopic or gross

Q: Burning, tingling, shooting, electrical

Management

• First-line:
  • GABA Analog (Gabapentin)***
  • TCA
  • SSRI/SNRI
• Second-line:
  • Tramadol → Trial on PRN basis
  • Opioid (Narcotics)