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[Not Available].
J Sorge1, H Menninger, U Thoden
1Zentrum Anästhesiologie Medizinische Hochschule, Abteilung IV (Krankenhaus Oststadt), Podbielskistraße 380, W-3000, Hannover 51.
Schmerz (Berlin, Germany)
|September 1, 1992
Summary
Managing rheumatic pain involves a stepwise approach using analgesics and adjuvant drugs. This includes non-opioid pain relievers, NSAIDs for inflammation, and opioids when necessary, with manageable side effects.
Area of Science:
- Rheumatology
- Pharmacology
- Pain Management
Context:
- Rheumatic pain presents diverse therapeutic challenges.
- Physiotherapy and medication are primary treatment modalities.
- Analgesic administration follows a stepwise approach, similar to cancer pain management.
Purpose:
- To outline current therapeutic strategies for rheumatic pain.
- To detail the use of analgesics and adjuvant drugs.
- To emphasize a stepwise approach to pain management.
Summary:
- Non-opioid analgesics, including non-steroid anti-inflammatory drugs (NSAIDs) for inflammatory pain, are initial treatments.
- Paracetamol and metamizol serve as alternatives for non-inflammatory pain.
- Opioids are reserved for insufficient pain relief or non-opioid side effects, with long-term use having minimal severe risks.
- Adjuvant therapies like muscle relaxants and antidepressants can address specific symptoms such as myalgia or neuropathic pain.
Impact:
- Provides a framework for effective rheumatic pain management.
- Highlights the safety and efficacy of stepwise analgesic use.
- Informs clinical practice regarding medication choices for rheumatic conditions.
