[en] Introduction: Neuropathic pain occurs on account of the affectation of the somatosensory system. This symptomatology has a multifactorial etiology and is characterized by the presence of parestesias, desesthesias and allodynia. Pain tends to chronicity if it doesn?t receive the appropriate treatment, appearing between 7-10% of the population. Both manual therapy and therapeutic exercise are physiotherapeutic methods currently used in the management of neuropathic pain. They include a series of techniques capable of acting at pain level and in other parameters. Objectives: To analyze the effectiveness of manual therapy in the treatment of neuropathic pain and to verify which manual therapy technique is more effective. Just as analyzing the effectiveness of therapeutic exercise in a complementary way to manual therapy. Methods: A systematic bibliographic search and review of clinical trials was conducted in Spanish, French and English using Pubmed, PEDro and WOS databases Results: 530 articles were identified in the bibliographic research. Only 21 articles from this search were included in the systematic review. Concerning manual therapy, the technique that achieved the best results was neural mobilization. The techniques of manipulation and massage were also beneficial in the management of pain. Regarding the therapeutic exercise, it also demonstrated its effectiveness with the reduction of neuropathic pain in the patient treated in a multidisciplinary way. Conclusion: Manual therapy and therapeutic exercise, applied in a complementary way to it, are one of the treatment methods indicated in neuropathic pain, provided that they are specifically adjust to the patient and his pathology.

[es] Introducci?n: El dolor neurop?tico se presenta por la afectaci?n del sistema somatosensorial. Esta sintomatolog?a tiene etiolog?a multifactorial y se caracteriza por la presencia de parestesias, disestesias y alodinia. El dolor tiende a la cronicidad si no recibe el tratamiento adecuado, existiendo en un 7-10% de la poblaci?n. La terapia manual y el ejercicio terap?utico son m?todos fisioter?picos empleados actualmente en el abordaje del dolor neurop?tico. Engloban una serie de t?cnicas capaces de actuar tanto a nivel del dolor como en otros par?metros. Objetivos: Analizar la efectividad de la terapia manual en el tratamiento del dolor neurop?tico y comprobar qu? t?cnica es m?s efectiva dentro de la misma, as? como, comprobar la efectividad del ejercicio terap?utico de forma complementaria a la terapia manual. M?todos: Se realiza una b?squeda y revisi?n sistem?tica bibliogr?fica de ensayos cl?nicos en espa?ol, franc?s e ingl?s utilizando las bases de datos Pubmed, PEDro y WOS. Resultados: Se identificaron 530 art?culos en la b?squeda bibliogr?fica, de los cuales se incluyeron 21 art?culos en la revisi?n sistem?tica. En relaci?n a la terapia manual, la t?cnica que alcanz? los mejores resultados fue la movilizaci?n neural. Las t?cnicas de manipulaci?n y masaje tambi?n resultaron beneficiosas en el manejo del dolor. El ejercicio terap?utico tambi?n demostr? su efectividad con la reducci?n del dolor neurop?tico mediante una intervenci?n global. Conclusi?n: La terapia manual y el ejercicio terap?utico, aplicado de manera complementaria a la misma, son uno de los m?todos de tratamiento indicados en el dolor neurop?tico, siempre que se adecuen espec?ficamente al paciente y a su patolog?a.