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Schmerz ; 31(5): 527-545, 2017 Oct.
Artigo em Alemão | MEDLINE | ID: mdl-28940094

RESUMO

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.


Assuntos
Dor Crônica/diagnóstico , Medição da Dor , Paraplegia/diagnóstico , Encéfalo/fisiopatologia , Dor Crônica/fisiopatologia , Dor Crônica/terapia , Terapia Combinada , Humanos , Comunicação Interdisciplinar , Colaboração Intersetorial , Neuralgia/diagnóstico , Neuralgia/fisiopatologia , Neuralgia/terapia , Nociceptores/fisiologia , Paraplegia/fisiopatologia , Paraplegia/terapia , Nervos Periféricos/fisiopatologia , Psicologia , Fatores de Risco , Medula Espinal/fisiopatologia , Raízes Nervosas Espinhais/fisiopatologia
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