Unité INSERM U987, Hôpital Ambroise Paré, Paris Descartes University, 9 avenue Charles de Gaulle, 92100, Boulogne Billancourt, France; Centre d'Evaluation et Traitement de la Douleur, Hôpital Cochin, Paris Descartes University, 27 rue du Faubourg Saint Jacques, 75014, Paris, France.
Unité INSERM U987, Hôpital Ambroise Paré, Paris Descartes University, 9 avenue Charles de Gaulle, 92100, Boulogne Billancourt, France; Centre d'Evaluation et Traitement de la Douleur, Hôpital Cochin, Paris Descartes University, 27 rue du Faubourg Saint Jacques, 75014, Paris, France.
Best Pract Res Clin Rheumatol. 2019 Jun;33(3):101415. doi: 10.1016/j.berh.2019.04.007. Epub 2019 May 13.
Active research is being conducted on musculoskeletal pain, and recent concepts will help clinicians and researchers to develop better approaches: -the new pain taxonomy recently has been modified with a third descriptor with the concept of nociplastic pain. -the latest International Classification of Diseases (ICD-11) includes an IASP task force that developed a new classification system for pain. In this new classification, one can differentiate primary musculoskeletal pain including fibromyalgia and low back pain and secondary musculoskeletal pain related to specific etiologies. -the concept of central sensitization in inflammatory rheumatic diseases is increasingly discussed. In these conditions, even with very active biological treatment, almost a third of patients are still complaining of persisting pain. These persisting pain states under adequate treatment, without any sign of inflammation, led researchers to look for evidence of central sensitization states.
目前正在对肌肉骨骼疼痛进行积极的研究，最近的概念将帮助临床医生和研究人员开发出更好的方法：-新的疼痛分类学最近已经通过第三个描述符进行了修改，其中包含了伤害感受性疼痛的概念。-最新的《国际疾病分类》（ICD-11）包括一个由国际疼痛研究协会（IASP）工作组制定的新的疼痛分类系统。在这个新的分类中，可以区分原发性肌肉骨骼疼痛，包括纤维肌痛和腰痛，以及与特定病因相关的继发性肌肉骨骼疼痛。-炎症性风湿性疾病中的中枢敏感化概念越来越受到讨论。在这些情况下，即使进行了非常积极的生物治疗，仍有近三分之一的患者仍在抱怨持续的疼痛。在适当治疗下，这些持续存在的疼痛状态没有任何炎症迹象，促使研究人员寻找中枢敏感化状态的证据。
