Central hyperexcitability in chronic musculoskeletal pain: A conceptual breakthrough with multiple clinical implications, Pulsus Group Inc
PAIN RESEARCH & MANAGEMENT
Canadian Pain Society (CPS)

Abstract

Note: (Optional)

Citation Builder

  •  
Return to Table of Contents
 
Review Summer 2002, Volume 7 Issue 2: 81-92
 

Central hyperexcitability in chronic musculoskeletal pain: A conceptual breakthrough with multiple clinical implications

J Lidbeck

Recent investigations of dysfunctional pain processing in the central nervous system have contributed much knowledge about the development of chronic musculoskeletal pain. Many common chronic musculoskeletal pain syndromes - including regional myofascial pain syndromes, whiplash pain syndromes, refractory work-related neck-shoulder pain, certain types of chronic low back pain, fibromyalgia and others - may essentially be explained by abnormalities in central pain modulation.
The growing awareness of dysfunctional central pain modulation may be a conceptual breakthrough leading to a better understanding of common chronic pain disorders. A new paradigm will have multiple clinical implications, including re-evaluation of clinical practice routines and rehabilitation methods, and will focus on controversial issues of medicolegal concern. The concept of dysfunctional central pain processing will also necessitate a mechanism-based classification of pain for the selection of individual treatment and rehabilitation programs for subgroups of patients with chronic musculoskeletal pain due to different pathophysiological mechanisms.

Central sensitization | Chronic musculoskeletal pain | Mechanism-based pain classification | Pain modulation
   Français   
          
Click to download PDF Reader
 
 




Copyright © Pulsus Group Inc.