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Pain in Parkinson's disease.
1Columbia University, New York, NY, USA. ford@movdis.cis.columbia.edu
Clinical Neuroscience (New York, N.Y.)
|April 29, 2000
Summary
Pain is a common symptom in Parkinson's disease (PD), affecting about 40% of patients. This review classifies PD pain into five types and offers a framework for evaluation and treatment.
Area of Science:
- Neurology
- Pain Medicine
Background:
- Pain is a recognized feature of Parkinson's disease (PD), affecting approximately 40% of patients.
- Pain severity in PD can sometimes overshadow motor symptoms.
- Patient-reported pain has led to classification into five distinct categories.
Purpose of the Study:
- To review the clinical features of pain syndromes in Parkinson's disease.
- To provide a framework for the evaluation, classification, and treatment of pain in PD patients.
Main Methods:
- Review of existing literature and patient descriptions of pain in Parkinson's disease.
- Classification of pain into five categories: musculoskeletal, neuritic/radicular, dystonia-associated, primary/central, and akathitic discomfort.
Main Results:
- Pain is a prevalent and significant non-motor symptom in Parkinson's disease.
- Five categories of pain experienced by PD patients have been identified.
- Central pain syndrome intrinsic to PD is supported by case reports, though mechanisms remain unclear.
Conclusions:
- Pain management in Parkinson's disease requires a structured approach.
- A classification system aids in understanding and addressing diverse pain types in PD.
- Further research is needed to elucidate the mechanisms of central pain in PD.