Free practice question: Refractory painful diabetic neuropathy
Question 10 of 25 in the free Starter set. Single best answer, three options, like the real exam.
C8 · Neuropathic pain
A 64-year-old man with type 2 diabetes (HbA1c 7.4%, BMI 33) has 3 years of burning bilateral foot pain from painful diabetic neuropathy, rated 7/10. Adequate trials of gabapentin, duloxetine, and nortriptyline failed because of side effects or limited benefit. He has no foot ulcers and is psychologically suitable for an implanted device. Of these options, which is the most appropriate next step?
Review the topic: Painful diabetic neuropathy · Spinal cord stimulation: selection, trials, evidence, complications
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