Lidbeck Jan
Smärtteamet MMS - VE Råå Helsingborg, Sweden - Helsingborg, Sweden.
Lakartidningen. 2016 Oct 25;113:D4YA.
Central sensitisation and chronic organ-related pain Central sensitisation is an essential mechanism in chronic musculoskeletal pain. In recent years, increasing evidence has come to light suggesting that central sensitisation is also a cause of chronic organ-related pain. This has several important implications. One is the need for broader professional education in mechanism-based pain classification. Today, simple clinical diagnostic procedures are used for the identification of central sensitisation in chronic musculoskeletal disorders, and these may also prove useful in the classification of organ-related pain. The diagnosis of central sensitisation may also lead to a reduction in extensive investigations and recurrent surgical procedures. Information on central sensitisation (pain neurophysiology education) for patients with chronic musculoskeletal pain reduces their fear of pain and increases their self-reliance and coping. A similar therapeutic approach may also be useful in patients diagnosed with organ-related chronic pain.
中枢敏化与慢性器官相关疼痛 中枢敏化是慢性肌肉骨骼疼痛的重要机制。近年来,越来越多的证据表明中枢敏化也是慢性器官相关疼痛的一个原因。这有几个重要意义。一是需要在基于机制的疼痛分类方面进行更广泛的专业教育。如今,简单的临床诊断程序用于识别慢性肌肉骨骼疾病中的中枢敏化,这些程序在器官相关疼痛的分类中可能也有用。中枢敏化的诊断还可能减少广泛的检查和反复的外科手术。为慢性肌肉骨骼疼痛患者提供有关中枢敏化的信息(疼痛神经生理学教育)可减轻他们对疼痛的恐惧,并增强他们的自立能力和应对能力。类似的治疗方法对被诊断为器官相关慢性疼痛的患者可能也有用。
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