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Author Spotlight: Quantifying Pain Experience – An Illustrative Approach Using the Pain Body Diagram
Published on: July 7, 2023
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Types of Pain in Multiple System Atrophy
Nicole Campese1,2, Mubasher A Qamar3, Maria Alexandra Chiriac3,4
1Department of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Summary
Multiple system atrophy (MSA) is linked to frequent nocturnal, musculoskeletal, and fluctuation-related pain. Understanding these pain types is crucial for developing targeted treatments for MSA patients.
Area of Science:
- Neurology
- Pain Medicine
- Clinical Research
Background:
- Pain is a prevalent and burdensome symptom in Multiple System Atrophy (MSA), affecting up to 87% of individuals.
- The specific types and prevalence of pain contributing to the overall burden in MSA remain incompletely understood.
Purpose of the Study:
- To determine the frequency of various pain types experienced by individuals with Multiple System Atrophy (MSA).
- To compare pain prevalence in MSA with Parkinson's disease (PD) and healthy controls.
Main Methods:
- A 2023 web-based survey was administered to individuals with MSA, utilizing the King's Parkinson's Disease Pain Questionnaire (KPPQ) and additional MSA-specific pain questions.
- Respondents were age, gender, and disease duration-matched with historical cohorts of individuals with PD and healthy controls (n=96 each).
Main Results:
- Nocturnal pain (73%), musculoskeletal pain (63%), and fluctuation-related pain (62%) were the most common KPPQ-reported pains in MSA.
- MSA patients reported higher frequencies of most KPPQ pain types compared to healthy controls, with the exception of musculoskeletal pain.
- Compared to PD patients, MSA individuals experienced less musculoskeletal pain but more orofacial pain.
Conclusions:
- Multiple System Atrophy (MSA) is associated with diverse pain types, including non-specific and disease-related pains of potentially neuropathic, nociceptive, or nociplastic origin.
- Identifying distinct pain sources in MSA is essential for developing personalized therapeutic strategies.
- Targeted treatments addressing both motor and non-motor symptoms are recommended for comprehensive pain management in MSA.
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