抄録
Neuropathic pain has been recognized as an intractable pain which is difficult to treat. The author described the management of neuropathic pain in the pain clinic practice in Japan. The management includes pharmacological therapy, nerve blocks, neuromodulation therapy, electric convulsion therapy, surgical therapy, gamma knife therapy, low output laser therapy, rehabilitation andmirror box therapy. The author also described the mechanisms of neuropathic pain which shoud be considered when pain clinicians treat this pain. Importance of pharmacological tests for analyzing the mechanisms of neuropathic pain on the clinical aspect also was described.