Chronic pain, a narrative review for the internist in 2024

被引：1
作者：
Sovaila, Silvia [1 ,3 ]
Purcarea, Adrian [2 ,3 ]
Neculau, Andrea [3 ]
机构：
[1] Transilvania Univ, Fac Med, Dept Internal Med, Brasov, Romania
[2] Univ Transilvania, Fac Med, Dept Fundamental Prophylact & Clin Sci, Brasov, Romania
[3] Internist Ro Clin, Brasov, Romania
来源：
ROMANIAN JOURNAL OF INTERNAL MEDICINE | 2024年 / 62卷 / 02期
关键词：
chronic pain; management; treatment; evaluation tools; CENTRAL SENSITIZATION; MANAGEMENT;
D O I：
10.2478/rjim-2023-0035
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
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.
引用
收藏
页码：124 / 137
页数：14
相关论文
共 50 条
  • [1] Safety of metamizole: a systematic review of the literature
    Andrade, S.
    Bartels, D. B.
    Lange, R.
    Sandford, L.
    Gurwitz, J.
    [J]. JOURNAL OF CLINICAL PHARMACY AND THERAPEUTICS, 2016, 41 (05) : 459 - 477
  • [2] Regional anaesthesia to prevent chronic pain after surgery: a Cochrane systematic review and meta-analysis
    Andreae, M. H.
    Andreae, D. A.
    [J]. BRITISH JOURNAL OF ANAESTHESIA, 2013, 111 (05) : 711 - 720
  • [3] Assessment and manifestation of central sensitisation across different chronic pain conditions
    Arendt-Nielsen, L.
    Morlion, B.
    Perrot, S.
    Dahan, A.
    Dickenson, A.
    Kress, H. G.
    Wells, C.
    Bouhassira, D.
    Drewes, A. Mohr
    [J]. EUROPEAN JOURNAL OF PAIN, 2018, 22 (02) : 216 - 241
  • [4] A Comprehensive Algorithm for Management of Neuropathic Pain
    Bates, Daniel
    Schultheis, B. Carsten
    Hanes, Michael C.
    Jolly, Suneil M.
    Chakravarthy, Krishnan V.
    Deer, Timothy R.
    Levy, Robert M.
    Hunter, Corey W.
    [J]. PAIN MEDICINE, 2019, 20 : S2 - +
  • [5] Opioids for Chronic Noncancer Pain A Systematic Review and Meta-analysis
    Busse, Jason W.
    Wang, Li
    Kamaleldin, Mostafa
    Craigie, Samantha
    Riva, John J.
    Montoya, Luis
    Mulla, Sohail M.
    Lopes, Luciane C.
    Vogel, Nicole
    Chen, Eric
    Kirmayr, Karin
    De Oliveira, Kyle
    Olivieri, Lori
    Kaushal, Alka
    Chaparro, Luis E.
    Oyberman, Inna
    Agarwal, Arnav
    Couban, Rachel
    Tsoi, Ludwig
    Lam, Tommy
    Vandvik, Per Olav
    Hsu, Sandy
    Bala, Malgorzata M.
    Schandelmaier, Stefan
    Scheidecker, Anne
    Ebrahim, Shanil
    Ashoorion, Vahid
    Rehman, Yasir
    Hong, Patrick J.
    Ross, Stephanie
    Johnston, Bradley C.
    Kunz, Regina
    Sun, Xin
    Buckley, Norman
    Sessler, Daniel I.
    Guyatt, Gordon H.
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2018, 320 (23): : 2448 - 2460
  • [6] Nanotechnology in Chronic Pain Relief
    Chen, Jing
    Jin, Teng
    Zhang, Hua
    [J]. FRONTIERS IN BIOENGINEERING AND BIOTECHNOLOGY, 2020, 8
  • [7] Chen S, 2018, Tramadol for the Management of Pain in Adult Patients: A Review of Clinical Effectiveness-An Update
  • [8] Cho Eun-Hee, 2019, Anesth Pain Med (Seoul), V14, P474, DOI 10.17085/apm.2019.14.4.474
  • [9] Chronic pain and infection: mechanisms, causes, conditions, treatments, and controversies
    Cohen, Steven P.
    Wang, Eric J.
    Doshi, Tina L.
    Vase, Lene
    Cawcutt, Kelly A.
    Tontisirin, Nuj
    [J]. BMJ MEDICINE, 2022, 1 (01):
  • [10] Cohen SP, 2021, LANCET, V397, P2082, DOI 10.1016/S0140-6736(21)00393-7
12345