Functional pain disorders – more than nociplastic pain.
BACKGROUND: Nociplastic pain has been recently introduced as a third mechanistic descriptor of pain arising primarily from alterations of neural processing, in contrast to pain due to tissue damage leading to nociceptor activation (nociceptive) or due to lesion or disease of the somatosensory nervou...
| Publicado en: | NeuroRehabilitation Vol. 47; no. 3; pp. 343 - 354 |
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| Autores principales: | , , , , , |
| Formato: | review Journal Article |
| Publicado: |
Sage Publications Inc.
2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=147075491&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 147075491 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10538135 3RE jtl: NeuroRehabilitation issn: 10538135 maglogo: N pubinfo: dt: 2020 vid: 47 iid: 3 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 147075491 147075491 147566467 147075491 10.3233/NRE-208007 147075491 ppf: 343 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Functional pain disorders – more than nociplastic pain. aug: au: Popkirov, Stoyan Enax-Krumova, Elena K. Mainka, Tina Hoheisel, Matthias Hausteiner-Wiehle, Constanze Zasler, Nathan affil: Department of Neurology, University Hospital Knappschaftskrankenhaus Bochum, Ruhr University Bochum, Bochum, Germany sug: subj: Chronic Pain Physiopathology Chronic Pain Therapy Fibromyalgia Physiopathology Fibromyalgia Therapy Complex Regional Pain Syndromes Physiopathology Complex Regional Pain Syndromes Therapy Pain Psychosocial Factors Quality of Life Pain Physiology Pain Rehabilitation ab: BACKGROUND: Nociplastic pain has been recently introduced as a third mechanistic descriptor of pain arising primarily from alterations of neural processing, in contrast to pain due to tissue damage leading to nociceptor activation (nociceptive) or due to lesion or disease of the somatosensory nervous system (neuropathic). It is characterized by hyperalgesia and allodynia, inconsistency and reversibility, as well as dynamic cross-system interactions with biological and psychobehavioral factors. Along with this renewed understanding, functional pain disorders, also classified as chronic primary pain, are being reframed as biopsychosocial conditions that benefit from multimodal treatment. OBJECTIVE: To summarize the current understanding of nociplastic pain and functional pain disorders, with a focus on conditions that are common in neurology practice. METHODS: This was a narrative literature review. RESULTS: Chronic back pain, fibromyalgia syndrome and complex regional pain syndrome are best understood within a biopsychosocial framework of pain perception that considers structural factors (predispositions and sequelae) and psychobehavioral mechanisms. Although pain is often the primary complaint, it should not be the only focus of treatment, as accompanying symptoms such as sleep or mood problems can significantly impact quality of life and offer useful leverage points for multimodal treatment. Analgesic pharmacotherapy is rarely helpful on its own, and should always be imbedded in a multidisciplinary setting. pubtype: Academic Journal doctype: review Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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