Chronic pain syndrome: Pathogenesis, clinical presentation, treatment
https://doi.org/10.17650/1818-8338-2012-3-4-44-48
Abstract
The paper considers main ideas on the prevalence, course, and therapy of chronic pain syndrome. It describes its manifestations, different course variants, and approaches to treating the diseases accompanied by chronic pain. Different approaches to long-term therapy, which involve combination treatment options, are discussed. Data on the use of nonsteroidal antinflammatory drugs as the most common agents to relieve both acute and chronic pain syndrome are given in detail. The data of numerous trials evaluating both the analgesic and anti-inflammatory effects of nonsteroidal anti-inflammatory drugs are presented.
About the Author
A. Yu. Suvorov
State Research Center of Preventive Medicine, Ministry of Health of Russia
Russian Federation
Russian Federation
References
1. Fernandez E., Vargas R., Mahometa M. et al. Descriptors of pain sensation: a dual hierarchical model of latent structure. J Pain 2012;13(6):532–6.
2. Wall P.D. «Pain», the journal of the International Association for theStudy of Pain.Pain 1975;1(1):1–2.
3. Landmark T., Romundstad P., Dale O. et al. Estimating the prevalence of chronic pain: validation of recall against longitudinal reporting (the HUNT pain study). Pain 2012;153(7):1368–73.
4. Johannes C.B., Le T.K., Zhou X. et al. The prevalence of chronic pain in United States adults: results of an Internet-based survey. J Pain 2010;11(11):1230–9.
5. Pergolizzi J. Chronic pain – moving from symptom control to mechanism-based treatment.
6. Curr Med Res Opin 2011;27(10):2079–80.
7. Melzack R. The McGill Pain Questionnaire: major properties and scoring methods. Pain 1975;1(3):277–99.
8. Martel M.O., Thibault P., Sullivan M.J. Judgments about pain intensity and pain genuineness: the role of pain behavior and judgmental heuristics. J Pain 2011;12(4):468–75.
9. Fabbri E., Villa G., Mabrouk M. et al. McGill Pain Questionnaire: a multi-dimensional verbal scale assessing postoperative changes in pain symptoms associated with severe endometriosis. J Obstet Gynaecol Res 2009;35(4):753–60.
10. Strassberg D.S., Reimherr F., Ward M. et al. The MMPI and chronic pain. J Consult Clin Psychol 1981;49(2):220–6.
11. Шостак Н.А., Клименко А.А., Николенко М.В. Остеоартроз: вопросы патогенеза и лечение. Клиницист 2010;(1):47–53.
12. Насонов Е.Л. Ревматология. Клинические рекомендации. М.: ГЭОТАР-Медиа, 2008. 282 с.
13. Aurora S.K., Kulthia A., Barrodale P.M. Mechanism of chronic migraine. Curr Pain Headache Rep 2011;15(1):57–63.
14. Nett M.P. Postoperative pain management. Orthopedics 2010;33(9 Suppl):23–6.
15. Benitez Del Rosario M.A., Perez Suarez M.C., Fernandez Diaz R., Cabrejas Sanchez A. Paliative treatment: Treatment of chronic cancer pain (ii): the use of opiates. Aten Primaria 2002;29(8):513–6.
16. Sullivan A.B., Scheman J., Venesy D., Davin S. The role of exercise and types of exercise in the rehabilitation of chronic pain: specific or nonspecific benefits. Curr Pain Headache Rep 2012;16(2):153–61.
17. Paiotti A.P., Marchi P., Miszputen S.J. et al. The role of nonsteroidal antiinflammatory drugs and cyclooxygenase-2 inhibitors on experimental colitis. In Vivo 2012;26(3):381–93.
18. Spickler W. Ketorolac (Toradol): a new analgesic or an old NSAID? CMAJ 1993;148(10):1693–5.
19. Gillies G.W., Kenny G.N., Bullingham R.E., McArdle C.S. The morphine sparing effect of ketorolac
20. tromethamine. A study of a new, parenteral non-steroidal anti-inflammatory agent after abdominal surgery. Anaesthesia 1987;42(7):727–31.
21. Suhail M.S., Christianson C., Kohern F. et al. Effects of long term polyarthritis and subsequent NSAID treatment on activity with disassociation of tactile allodynia in the mouse. Neurocomputing 2012;84:47–52.
22. Kelley N.E., Tepper D.E. Rescue therapy for acute migraine, part 3: opioids, NSAIDs, steroids, and post-discharge medications. Headache 2012;52(3):467–82.
23. Mattia C., Ciarcia S., Muhindo A., Coluzzi F. Nimesulide: 25 years later. Minerva
24. Med 2010;101(4):285–93.
25. Clauw D., McCarberg B.H. Managing chronic pain with nonopioid analgesics: a multidisciplinary consult. Am J Med 2012;125(5):S1.
26. Hashizume K. Diagnosis and treatment of chronic pain by pain clinician. Brain and nerve. Brain Nerve 2012;64(11):1315–22.
Review
For citations:
Suvorov A.Yu. Chronic pain syndrome: Pathogenesis, clinical presentation, treatment. The Clinician. 2012;6(3-4):44-48. (In Russ.) https://doi.org/10.17650/1818-8338-2012-3-4-44-48
Views:
837
Email this article 