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[Nociplastic pain in Primary Care: What should we know?]
A Alcántara Montero1, P J Ibor Vidal2, C Álamo González3
1Centro de Salud Trujillo, Consultorios de Herguijuela/Conquista de la Sierra, Cáceres, España; Miembros del Grupo de Trabajo de Dolor y Cuidados Paliativos de SEMERGEN, España.
Semergen
|May 9, 2025
Summary
Nociplastic pain, a newly recognized pain type, stems from altered nociception, not nerve or tissue damage. Recognizing nociplastic pain is crucial for effective primary care management and treatment strategies.
Area of Science:
- Pain research
- Neuroscience
- Clinical medicine
Context:
- Nociplastic pain, the third mechanistic pain descriptor, was adopted by the International Association for the Study of Pain in 2017.
- Defined as pain arising from altered nociception, it is not fully explained by traditional nociceptive or neuropathic mechanisms.
- Peripheral and/or central sensitization, including allodynia and hyperalgesia, is often present but not exclusive to nociplastic pain.
Purpose:
- To review the key aspects of nociplastic pain within the Primary Care setting.
- To highlight the significance of identifying nociplastic pain in clinical practice.
- To underscore the need for understanding pathophysiological mechanisms for improved diagnostics and therapeutics.
Summary:
- Nociplastic pain involves altered nociception without clear nociceptive or neuropathic causes.
- Sensitization phenomena like allodynia and hyperalgesia may occur.
- This review focuses on nociplastic pain in primary care, stressing diagnostic importance.
Impact:
- Facilitates the development of diagnostic tests for personalized pain treatments.
- Aids in creating novel strategies for the prevention and management of nociplastic pain.
- Enhances clinical recognition and management of nociplastic pain in primary care settings.
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