Current review of pain最新文献_第2页

The debate over chronic pain continues 关于慢性疼痛的争论仍在继续

Current review of pain Pub Date : 2000-01-01 DOI: 10.1007/s11916-000-0099-y

Pawl

引用次数: 0

Is fibromyalgia a distinct clinical syndrome? 纤维肌痛是一种独特的临床综合征吗?

Current review of pain Pub Date : 2000-01-01 DOI: 10.1007/s11916-000-0105-4

C L Rau, I J Russell

{"title":"Is fibromyalgia a distinct clinical syndrome?","authors":"C L Rau, I J Russell","doi":"10.1007/s11916-000-0105-4","DOIUrl":"https://doi.org/10.1007/s11916-000-0105-4","url":null,"abstract":"The validity of the fibromyalgia syndrome (FMS) as a distinct clinical entity has been challenged for several reasons. Many skeptics express concern about the subjective nature of chronic pain, the subjectivity of the tender point (TeP) examination, the lack of a gold standard laboratory test, and the absence of a clear pathogenic mechanism by which to define FMS. Another expressed concern has been the relative nature of the pain-distress relationship in the rheumatology clinic. The apparently continuous relationship between TePs and somatic distress across a variety of clinical disorders is said to argue against FMS as a separate clinical disorder. The most aggressive challenges of the FMS concept have been from legal defenses of insurance carriers motivated by economic concerns. Other forms of critique have presented as psychiatric dogma, uninformed posturing, suspicion of malingering, ignorance of nociceptive physiology, and occasionally have resulted from honest misunderstanding. It is not likely that a few paragraphs of data and logic will cause an unbeliever to change an ingrained opinion. Therefore, this review describes the clinical manifestations of FMS, responds to some of the theoretic arguments against it, and discusses some possible pathophysiologic mechanisms by which FMS may develop and persist as a unique syndrome.","PeriodicalId":80271,"journal":{"name":"Current review of pain","volume":"4 4","pages":"287-94"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s11916-000-0105-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21791684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 10

Is lumbar discography a determinate of discogenic low back pain: provocative discography reconsidered. 腰椎间盘造影术是椎间盘源性腰痛的决定因素吗?

Current review of pain Pub Date : 2000-01-01 DOI: 10.1007/s11916-000-0107-2

E J Carragee

引用次数: 43

Myelinated fibers of spinal cord blood vessels--sensory innervation? 脊髓血管的髓鞘纤维——感觉神经支配?

Current review of pain Pub Date : 2000-01-01 DOI: 10.1007/s11916-000-0018-2

J E Heavner, P W Coates, G Racz

引用次数: 2

Malignant bone pain: pathophysiology and treatments. 恶性骨痛:病理生理及治疗。

Current review of pain Pub Date : 2000-01-01 DOI: 10.1007/s11916-000-0078-3

C Ripamonti, F Fulfaro

{"title":"Malignant bone pain: pathophysiology and treatments.","authors":"C Ripamonti, F Fulfaro","doi":"10.1007/s11916-000-0078-3","DOIUrl":"https://doi.org/10.1007/s11916-000-0078-3","url":null,"abstract":"Metastatic involvement of the bone is one of the most frequent causes of pain in cancer patients and represents one of the first signs of widespread neoplastic disease. The pain may originate directly from the bone, from nerve root compression, or from muscle spasms in the area of the lesions. The mechanism of metastatic bone pain is mainly somatic (nociceptive), even though, in some cases, neuropathic and visceral stimulations may overlap. The conventional symptomatic treatment of metastatic bone pain requires the use of multidisciplinary therapies, such as radiotherapy, in association with systemic treatment (hormonotherapy, chemotherapy, radioisotopes) with the support of analgesic therapy. Recently, studies have indicated the use of bisphosphonates in the treatment of pain and in the prevention of skeletal complications in patients with metastatic bone disease. In some patients, pharmacologic treatment, radiotherapy, and radioisotopes administered alone or in association are not able to manage pain adequately. The role of neuroinvasive techniques in treating metastatic bone pain is debated. The clinical conditions of the patient, his life expectancy, and quality of life must guide the physician in the choice of the best possible therapy.","PeriodicalId":80271,"journal":{"name":"Current review of pain","volume":"4 3","pages":"187-96"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s11916-000-0078-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21831881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 70

The role of stress in the development of herpes zoster and postherpetic neuralgia. 压力在带状疱疹和带状疱疹后神经痛发展中的作用。

Current review of pain Pub Date : 2000-01-01 DOI: 10.1007/s11916-000-0003-9

J M Livengood

引用次数: 24

Comorbidity of post-traumatic stress disorder and chronic pain: implications for clinical and forensic assessment. 创伤后应激障碍和慢性疼痛的共病:临床和法医评估的意义。

Current review of pain Pub Date : 2000-01-01 DOI: 10.1007/s11916-000-0008-4

R J Kulich, P Mencher, C Bertrand, R Maciewicz

引用次数: 24

Irritable bowel syndrome. 肠易激综合症。

Current review of pain Pub Date : 2000-01-01 DOI: 10.1007/s11916-000-0010-x

S M Turner, J E Stewart, J J Alexopulos, J S Hill