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Understanding Pain in Osteoarthritis: A Clinical Framework Based on the Biopsychosocial Model
Paolo Pedersini1, Riccardo Buraschi1, Joel Pollet1
1IRCCS Fondazione Don Carlo Gnocchi, Milan, Italy (Mr Pedersini, Mr Buraschi, Mr Pollet, Mrs Pullara and Dr Gobbo); and Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy (Mr Pedersini, Mr Pollet and Gobbo).
Abstract:
Patient's pain experience is a complex phenomenon. The biopsychosocial approach aims to assess pain in all its domains considering: type of pain (nociceptive, neuropathic, nociplastic), psychological, patient beliefs, the socioenvironmental domain, and sensorimotor disintegration. A comprehensive clinical assessment of the patient's pain experience is helpful to define individual differences between patients and thus to plan effective individualized treatment programs. This paper aims to discuss patients' pain experience domains based on the biopsychosocial approach in patients with osteoarthritis. Future studies should also consider incorporating a comprehensive pain assessment, which may provide better insight into the role of factors affecting nociception and pain perception.
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