关节疼痛的现状:了解病理生理学和患者经验,以便更好地管理

Sandrine Carvès , Anne-Priscille Trouvin , Serge Perrot
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引用次数: 1

摘要

疼痛是骨关节炎的主要临床表现。这不仅仅是一个与联合破坏有关的伤害性信息。在骨关节炎中,慢性疼痛本身就是一种疾病,有几个组成部分:伤害性、神经性和伤害性。评估疼痛强度是一个先决条件。增加自我调查问卷(DN4, ICOAP, OASIS…)可以筛选疼痛的不同组成部分并评估患者的体验。最终,更好的骨关节炎患者的表型根据他们的疼痛将允许个性化治疗适应潜在的疼痛机制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Vision actuelle de la douleur arthrosique : comprendre la physiopathologie et l’expérience des patients pour une meilleure prise en charge

Pain is the main clinical manifestation of osteoarthritis. It is not simply a nociceptive message associated with joint destruction. In osteoarthritis, chronic pain is a disease in its own right, with several components: nociceptive, neuropathic and nociplastic. Assessment of pain intensity is a prerequisite. Adding self-questionnaires (DN4, ICOAP, OASIS…) makes it possible to screen for the different components of pain and to assess the patient experience. Ultimately, better phenotyping of osteoarthritic patients according to their pain would allow personalized treatment adapted to underlying pain mechanisms.

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