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Related Experiment Videos

[Posttraumatic pain. Causes and therapeutic possibilities].

R Dertwinkel1, M Zenz, B Donner

  • 1Klinik für Anästhesiologie, Intensiv- und Schmerztherapie, Universitätsklinik Bergmannsheil, Ruhr-Universität Bochum.

Der Orthopade
|August 4, 1999
PubMed
Summary

Effective pain therapy requires understanding the pain

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Post-traumatic pain. Causes and therapeutic concepts.

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Area of Science:

  • Pain Medicine
  • Neurology
  • Anesthesiology

Context:

  • Patients deserve advanced pain therapy, but efficacy hinges on identifying pain's origin.
  • Distinguishing between nociceptive and neuropathic pain is crucial for appropriate treatment.
  • Central sensitization and sympathetic nervous system involvement can lead to chronic pain conditions.

Purpose:

  • To outline therapeutic strategies for nociceptive and neuropathic pain.
  • To provide algorithms for treatment modalities in chronic pain management.
  • To clarify the role of various analgesics, co-analgesics, and opioids.

Summary:

  • Nociceptive pain involves intact pathways activated by peripheral nociceptors, common in post-traumatic cases.
  • Neuropathic pain stems from nervous system lesions, potentially involving central sensitization and sympathetic dysfunction.
  • Treatment algorithms guide the use of non-opioid analgesics, co-analgesics, and opioids, adhering to strict standards. Local anesthetic monotherapy is outdated, but adjuvant blockades may help in post-traumatic pain. Sympathetic blockades are vital for diagnosing and treating sympathetic maintained pain (SMP).

Impact:

  • Establishes clear treatment pathways for different pain types.
  • Highlights the importance of accurate diagnosis for effective pain management.
  • Defines the current standards and limitations of various pain interventions, including blockades.

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