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A Protocol of Manual Tests to Measure Sensation and Pain in Humans
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Not All Pain is Created Equal: Basic Definitions and Diagnostic Work-Up.

Cesare Bonezzi1, Diego Fornasari2, Claudio Cricelli3

  • 1ICS Maugeri IRCCS, Via Salvatore Maugeri 10, Pavia, Italy. cesare.bonezzi@icsmaugeri.it.

Pain and Therapy
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PubMed
Summary
This summary is machine-generated.

Chronic pain is a major public health issue. Identifying pain types, including nociceptive, neuropathic, and nociplastic pain, is key for effective management and diagnosis.

Keywords:
Chronic painDiagnosisPrimary care

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Area of Science:

  • Pain research and management
  • Public health initiatives in pain care

Background:

  • Chronic pain is a significant public health concern globally, impacting disability and healthcare resources.
  • Primary care physicians face challenges in managing complex chronic pain conditions.
  • Traditional pain classification includes nociceptive and neuropathic pain.

Purpose of the Study:

  • To provide an overview of chronic pain types and their mechanisms.
  • To facilitate successful pain management through accurate pain type identification.
  • To present diagnostic tools and an algorithm for clinical guidance.

Main Methods:

  • Review of pain classification, including nociceptive, neuropathic, and nociplastic pain.
  • Introduction of diagnostic tools for pain assessment.
  • Presentation of a clinical algorithm for pain diagnosis and management.

Main Results:

  • Nociplastic pain, characterized by altered central pain modulation, is a newly recognized category.
  • Accurate identification of pain type is crucial for effective treatment.
  • The presented algorithm aids in diagnosis and identifies cases needing specialist referral.

Conclusions:

  • Understanding pain types (nociceptive, neuropathic, nociplastic) is essential for clinicians.
  • Diagnostic tools and algorithms can guide primary care physicians in managing chronic pain.
  • Early and accurate diagnosis supports tailored treatment decisions for better patient outcomes.