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Spinal cord injury pain

机译:脊髓损伤疼痛

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摘要

Spinal Cord Injury Pain presents a fascinating and complex clinical scenario. The patients not only have to cope with their loss of function but in more than 60% of cases develop chronic pain. In many of them nociceptive and neuropathic pain is present early on in the injury and in some the pain develops in response to a variety of factors. SCI pain defies the usual classification of acute and chronic pain. A taxonomy or classification has been proposed by the IASP task force dividing SCI pain into the following 5 categories: Musculoskeletal, Visceral, Above level, At level and Below level Neuropathic pain. Some classifications have proposed a classification of psychogenic pain as well but this is not generally accepted in view of the frequent and complex aetiologies of pain in these patients and the unsurprising frequency of psychological issues in such a life changing injury.
机译:脊髓损伤疼痛呈现出令人着迷的复杂临床情况。患者不仅必须应对其功能丧失,而且在超过60%的病例中会出现慢性疼痛。在它们中的许多中,伤害性伤害和神经性疼痛在损伤的早期就存在,并且在某些情况下,疼痛是对多种因素的响应而发展的。 SCI疼痛不符合急性和慢性疼痛的常规分类。 IASP工作组已经提出了一种分类法或分类,将SCI疼痛分为以下5类:肌肉骨骼,内脏,水平以上,水平和水平以下神经性疼痛。一些分类也提出了心理性疼痛的分类,但是鉴于这些患者的疼痛病因频繁且复杂,并且在这种改变生命的伤害中出现心理问题的频率并不令人惊讶,因此这通常未被接受。

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