Zhuang Jiejie, Mei Houlian, Fang Fang, Ma Xiaqing
Department of Anesthesiology, Suzhou Hospital of Anhui Medical University, Suzhou, China.
Department of Nursing, Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai, China.
Front Pain Res (Lausanne). 2022 Jul 15;3:937004. doi: 10.3389/fpain.2022.937004. eCollection 2022.
Chronic musculoskeletal pain (CMP) is the most common type of chronic pain, defined as persistent or recurrent pain condition deriving from musculoskeletal structures such as muscles, joints or bones that lasts for more than 3 months. CMP is multifactorial and severely affects people's quality of life. CMP may be influenced by a number of factors, including contextual factors, the presence of comorbidities, arthritis coping efficacy and access to CMP care. To deepen the comprehensive understanding of CMP, this narrative review provides the latest literature on disease classification, clinical diagnosis, treatment and basic research. In terms of the classification of the disease, here we introduce the 11th edition of the International Classification of Diseases (IDC-11), in which CMP is divided into chronic primary musculoskeletal pain and chronic secondary musculoskeletal pain. In the clinical diagnosis section, the progress of central sensitization in the diagnosis of CMP will also be summarized. In addition, we summarize some recent advances in clinical treatment and basic research.
慢性肌肉骨骼疼痛（CMP）是最常见的慢性疼痛类型，定义为源自肌肉、关节或骨骼等肌肉骨骼结构的持续或复发性疼痛状况，持续时间超过3个月。CMP是多因素的，严重影响人们的生活质量。CMP可能受到多种因素的影响，包括背景因素、合并症的存在、关节炎应对效能以及获得CMP护理的机会。为了加深对CMP的全面理解，本叙述性综述提供了有关疾病分类、临床诊断、治疗和基础研究的最新文献。在疾病分类方面，在此我们介绍《国际疾病分类》第11版（IDC-11），其中CMP分为慢性原发性肌肉骨骼疼痛和慢性继发性肌肉骨骼疼痛。在临床诊断部分，还将总结中枢敏化在CMP诊断中的进展。此外，我们总结了临床治疗和基础研究方面的一些最新进展。
