[Pain in patients with paraplegia]

Schmerz. 2017 Oct;31(5):527-545. doi: 10.1007/s00482-017-0250-x.
[Article in German]

Abstract

Chronic pain is one of the most reported health problems in patients suffering from spinal cord injuries and is described by the patients as one of the most burdensome sequelae of paraplegia. Various types of pain, such as nociceptive, neuropathic and other types of pain can occur. In addition, multiple pathophysiological mechanisms based on the biopsychosocial pain model play a role in the origins of the pain. These aspects necessitate a multimodal pain management approach in this patient group. This article presents an overview of the occurrence, importance and pathophysiology of chronic pain following spinal cord injury as well as diagnostic and therapeutic approaches.

Keywords: Chronic pain; Multimodal pain management; Neuralgia; Nociceptive pain; Paraplegia.

Publication types

  • Review

MeSH terms

  • Brain / physiopathology
  • Chronic Pain / diagnosis*
  • Chronic Pain / physiopathology
  • Chronic Pain / therapy
  • Combined Modality Therapy
  • Humans
  • Interdisciplinary Communication
  • Intersectoral Collaboration
  • Neuralgia / diagnosis
  • Neuralgia / physiopathology
  • Neuralgia / therapy
  • Nociceptors / physiology
  • Pain Measurement*
  • Paraplegia / diagnosis*
  • Paraplegia / physiopathology
  • Paraplegia / therapy
  • Peripheral Nerves / physiopathology
  • Psychology
  • Risk Factors
  • Spinal Cord / physiopathology
  • Spinal Nerve Roots / physiopathology