Benoliel Rafael, Sharav Yair, Tal Michael, Eliav Eli
Orofacial Pain Clinic, Department of Oral Medicine, Hebrew University-Hadassah School of Dental Medicine, Jerusalem, Israel.
Compend Contin Educ Dent. 2003 Dec;24(12):909-20, 922-4, 926-8 passim; quiz 932.
In the facial region, chronic pain syndromes include musculoskeletal pain, neuropathic disorders, vascular pain, and other chronic headaches. Therapy of chronic facial pain syndromes often relies on long-term psychotropic medications that cause severe side effects and offer nontotal pain relief. In this article, therapeutically relevant advances in science, which will change the approach to pain management, are reviewed. Understanding the mechanisms involved in chronic pain enables the clinician to skillfully apply this knowledge when selecting a therapy.
在面部区域，慢性疼痛综合征包括肌肉骨骼疼痛、神经病变、血管性疼痛以及其他慢性头痛。慢性面部疼痛综合征的治疗通常依赖于长期使用会导致严重副作用且无法完全缓解疼痛的精神药物。本文将对科学领域中与治疗相关的进展进行综述，这些进展将改变疼痛管理的方法。了解慢性疼痛所涉及的机制能使临床医生在选择治疗方法时巧妙地运用这一知识。
