Parker Rell L
Department of Small Animal Clinical Sciences, VA-MD College of Veterinary Medicine, Virginia Tech, Blacksburg, VA, United States.
Front Vet Sci. 2024 Dec 10;11:1520043. doi: 10.3389/fvets.2024.1520043. eCollection 2024.
Chronic neuropathic pain is underdiagnosed in companion animals. This paper will review the definition of pain and how classification and grading of neuropathic pain can be applied from human to veterinary medicine to increase the recognition of and the confidence in a neuropathic pain diagnosis. The mechanisms of nociception and the pathophysiology of the sensory systems that underlie the transition to chronic pain are described. Potential future methods for diagnosis and treatment of neuropathic pain in veterinary medicine are considered, utilizing the theoretical framework of pain behavior from humans and rodents. By discussing the current state of pain diagnosis in companion animals and increasing the recognition of chronic neuropathic pain, the goal is to increase understanding of chronic neuropathic pain in daily clinical practice and to aid the development of methods to diagnose and treat neuropathic pain.
慢性神经性疼痛在伴侣动物中诊断不足。本文将回顾疼痛的定义，以及神经性疼痛的分类和分级如何从人类医学应用到兽医学，以提高对神经性疼痛诊断的认识和信心。文中描述了伤害感受的机制以及向慢性疼痛转变的感觉系统的病理生理学。利用人类和啮齿动物疼痛行为的理论框架，探讨了兽医学中未来可能用于诊断和治疗神经性疼痛的方法。通过讨论伴侣动物疼痛诊断的现状并提高对慢性神经性疼痛的认识，目的是增进日常临床实践中对慢性神经性疼痛的理解，并有助于开发诊断和治疗神经性疼痛的方法。
