[Pain in patients with paraplegia]
G Landmann1, E-C Chang2, W Dumat3
1Zentrum für Schmerzmedizin, Schweizer Paraplegiker-Zentrum, 6207, Nottwil, Guido-A.-Zäch-Str. 1, Schweiz. gunther.landmann@paraplegie.ch.
Schmerz (Berlin, Germany)
|September 24, 2017
Summary
Chronic pain is a major burden after spinal cord injury (SCI), involving complex mechanisms. Effective management requires a multimodal approach addressing nociceptive and neuropathic pain.
Area of Science:
- Neuroscience
- Pain Medicine
- Rehabilitation Medicine
Background:
- Chronic pain significantly impacts quality of life for individuals with spinal cord injuries (SCI), often being the most debilitating consequence of paraplegia.
- Pain following SCI can manifest in various forms, including nociceptive and neuropathic pain, stemming from diverse pathophysiological mechanisms.
- The biopsychosocial model highlights the intricate interplay of biological, psychological, and social factors contributing to SCI-related pain.
Purpose of the Study:
- To provide a comprehensive overview of chronic pain in spinal cord injury (SCI) patients.
- To discuss the prevalence, significance, and underlying pathophysiology of SCI-induced pain.
- To outline current diagnostic and therapeutic strategies for managing chronic pain after SCI.
Main Methods:
- Literature review of studies on chronic pain following spinal cord injury.
- Analysis of pathophysiological mechanisms contributing to SCI pain.
- Synthesis of diagnostic criteria and therapeutic interventions for SCI pain.
Main Results:
- Chronic pain is a highly prevalent and burdensome issue in SCI populations.
- Multiple pain types (nociceptive, neuropathic) and biopsychosocial factors contribute to SCI pain.
- A multimodal treatment strategy is essential for effective pain management in SCI patients.
Conclusions:
- Understanding the multifaceted nature of SCI pain is crucial for clinical practice.
- Multimodal pain management, integrating various therapeutic modalities, is recommended for SCI patients.
- Further research into the pathophysiology and treatment of SCI pain is warranted.
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