Thapa Rupak, Ang Dennis
Department of Rheumatology, Atrium Health Wake Forest Baptist Medical Center, Winston-Salem, NC; Assistant Professor, Wake Forest University School of Medicine, Winston-Salem, NC
Chair, Department of Rheumatology, Atrium Health Wake Forest Baptist Medical Center, Winston-Salem, NC; Professor, Wake Forest University School of Medicine, Winston-Salem, NC.
Cleve Clin J Med. 2025 Apr 1;92(4):236-247. doi: 10.3949/ccjm.92a.24101.
Management of chronic pain is one of the most challenging medical issues in primary care. Effective pain management requires an understanding of nociplastic pain, a condition characterized by amplification of pain transmission and pain perception. Unlike nociceptive and neuropathic pain, nociplastic pain does not involve visible tissue injury or damage, which makes it difficult to understand and manage. This review discusses practical ways for primary care clinicians to identify and manage nociplastic pain at the point of care.
慢性疼痛的管理是初级保健中最具挑战性的医学问题之一。有效的疼痛管理需要了解伤害感受性疼痛,这是一种以疼痛传递和疼痛感知增强为特征的病症。与伤害性疼痛和神经性疼痛不同,伤害感受性疼痛不涉及可见的组织损伤,这使得其难以理解和管理。本综述讨论了初级保健临床医生在护理点识别和管理伤害感受性疼痛的实用方法。