1Department of Internal Medicine, Faculty of Medicine, "Transilvania" University Braşov, Romania.
3Internist.ro Clinic, Braşov, Romania.
Rom J Intern Med. 2023 Dec 28;62(2):124-137. doi: 10.2478/rjim-2023-0035. Print 2024 Jun 1.
Chronic pain is a complex and pervasive condition that profoundly affects individuals physically, emotionally, and socially. This narrative review aims to provide internists and healthcare professionals with a comprehensive overview of chronic pain, its various types, pathophysiology, epidemiology, clinical presentation, evaluation tools, and the burden it imposes on patients. We discuss the importance of recognizing chronic pain as a legitimate condition and the need for a compassionate, individualized approach to management. The review highlights the role of both pharmacological and non-pharmacological interventions in treating chronic pain, emphasizing the value of reducing pain, improving function, enhancing quality of life, and minimizing medication dependence. Additionally, we touch upon the promising future of pain treatment, including advancements in technology and personalized medicine. While not a comprehensive systematic review, this article serves as a valuable resource for healthcare providers seeking to understand, manage, and treat chronic pain effectively in their daily practice.
慢性疼痛是一种复杂且普遍的病症,会在身体、情感和社交方面给患者带来深刻影响。本篇叙述性综述旨在为内科医生和医疗保健专业人员提供慢性疼痛的全面概述,包括其各种类型、病理生理学、流行病学、临床表现、评估工具,以及其给患者带来的负担。我们讨论了将慢性疼痛视为一种合理病症的重要性,以及对其进行富有同情心和个体化管理的必要性。该综述强调了药物和非药物干预在治疗慢性疼痛中的作用,重点介绍了减轻疼痛、改善功能、提高生活质量和最小化药物依赖的价值。此外,我们还探讨了疼痛治疗的未来前景,包括技术和个性化医学的进步。虽然本文不是全面的系统性综述,但它为医疗保健提供者提供了有价值的资源,帮助他们在日常实践中理解、管理和有效治疗慢性疼痛。