We highlight current theories about peripheral neuropathic pain and show th
at progress in management is contingent on targeting treatment not at the a
etiological factors or the symptoms but at the mechanisms that operate to p
roduce the symptoms. This approach will require substantial progress in our
understanding of the pathophysiology of neuropathic pain, the development
of accurate diagnostic tools to discover what mechanisms contribute to the
pain syndrome in an individual, and effective treatments aimed specifically
at the mechanisms.