The Ad hoc Committee of the Croatian Society for Neurovascular Disorders and the Croatian Medical Association's recommendations for neuropathic pain treatment (Demarin et al, 2008) stated that damage to the somatosensory nervous system poses a risk for the development of neuropathic pain. Such an injury to the nervous system results in a series of neurobiological events resulting in sensitization of both the peripheral and central nervous system. The diagnosis of neuropathic pain is based primarily on the history and physical examination finding. Although monotherapy is the ideal approach, rational poly-pharmacy is often pragmatically used. Several classes of drugs are moderately effective, but complete or near-complete relief is unlikely. Anti-depressants and anti-convulsants are most commonly used. Opioid analgesics can provide some relief but are less effective than for nociceptive pain; adverse effects may prevent adequate analgesia. Topical drugs and a lidocaine-containing patch may be effective for peripheral syndromes. Sympathetic blockade is usually ineffective except for some patients with complex regional pain syndrome. TENS was not mentioned as a therapeutic option.
I bought a FIRS blanket from the UK several years ago (I live in New Zealand). I have found it of great benefit in helping me to live with MS (diagnosed in 1982). I cannot cope with high temperatures & during summer, don’t have the temperature higher than 33 degrees Celsius. I find the sauna blanket especially of benefit for management of pain. I generally set the sauna time for the maximum 90 minutes, but remain in the blanket only for as long as it feels “right” – this can be for only 30 minutes, or an hour. During the night however, I usually remain in the blanket the entire 90 minutes & often (mercifully) go to sleep, waking only after the 90 minutes session has ended. (I get little sleep mainly due to atonicity of bladder sphincter, necessitating several trips to the toilet during the night.) I chose to buy a blanket rather than the type shown above in which one sits, as lying down is much less tiring for me. I loaned my blanket to a friend for about 4 months last year. She found it of great benefit also & was loath to return it to me. My FIRS blanket cost me far more than price indicated above (it being flown from London UK to NZ). It has been a very worthwhile investment in my health maintenance & there are few days that I don’t have recourse to time in it. NSAIDs being of no benefit to me, my FIRS blanket has been a godsend these past few years.