Chronic pain following spinal cord injury

Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række
Tiina RekandMarit Grønning

Abstract

Chronic pain following spinal cord injury is common, and may result in a substantially reduced quality of life. The aim of the paper is to provide an overview of pain conditions resulting from spinal cord injuries and an update on therapy options. The article is based on literature searches in PubMed review articles for the period 2006-2011, using the search phrases «pain and spinal cord injury/injuries», «chronic pain and spinal cord injury/injuries» and «neuropathic pain and spinal cord injury/injuries». Some key articles on neuropathic pain are also included, irrespective of the year of publication. Patients with spinal cord injury may develop nociceptive and/or neuropathic pain.The cause, nature and localisation of the pain must be established before therapy is initiated. Neuropathic pain should primarily be treated with amitriptyline, gabapentin or pregabalin. Duloxetine, lamotrigine and tramadol may also be effective. Local treatment with high-concentration capsaicin and lidocaine may relieve localised neuropathic pain. Selected patients with intractable chronic neuropathic pain can be treated with intrathecal medication using an implanted pain pump or by microsurgical DREZotomy (Dorsal Root Entry Zone). Physiotherapy, no...Continue Reading

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Citations

Jun 19, 2015·Cephalalgia : an International Journal of Headache·Liis SabreMark Braschinsky
Mar 13, 2014·Spinal Cord·E K Jensen, F Biering-Sørensen
Mar 15, 2019·Somatosensory & Motor Research·Chary Marquez BatistaGuilherme Lepski
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Mar 7, 2015·Pain and Therapy·Ellen M Hagen, Tiina Rekand
Aug 11, 2021·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Anas R AlashramElvira Padua

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