Pain as an interdisciplinary problem

November 3, 2022
985
Specialities :
Resume

Pain is an interdisciplinary problem at the border of medicine, psychology, sociology and economics. Pain syndrome reduces the quality of life of patients, affects work productivity, social adaptation, and in most cases is poorly amenable to treatment. Therefore, a multidisciplinary approach to the diagnosis and treatment of pain syndrome is important, which should take into account the peculiarities of the patient’s perception of pain, the patient’s psycho-emotional state, individual life experience and previous experience of feeling pain, which will make it possible to improve the effectiveness of treatment, reduce the number of used painkillers and, accordingly, improve patient’s quality of life. Based on the analysis of modern literary sources, the article presents an expanded concept of pain, pathogenetic and biochemical mechanisms of its occurrence, approaches to treatment.

References

  • 1. Breivik H., Collett B., Ventafridda V. et al. (2006) Survey of chronic pain in Europe: prevalence, impact on daily life, and treatment. Eur. J. Pain, 10(4): 287–333. doi: 10.1016/j.ejpain.2005.06.009.
  • 2. http://www.iasp-pain.org/publications/iasp-news/iasp-announces-revised-definition-of-pain.
  • 3. Craig K.D., MacKenzie N.E. (2021) What is pain: Are cognitive and social features core components? Paediatr. Neonatal. Pain, 3(3): 106–118.
  • 4. Finnerup N.B., Kuner R., Jensen T.S. (2021) Neuropathic Pain: From Mechanismsto Treatment. Physiol. Rev., 101(1): 259–301.
  • 5. Baron R., Binder A., Attal N. et al. (2016) Neuropathic low back pain in clinical practice. Eur. J. Pain, 20(6): 861–873. doi: 10.1002/ejp.838.
  • 6. Arnold B., Brinkschmidt T., Casser H.R. et al. (2009) Multimodal pain therapy: principles and indications. Schmerz., 23(2): 112–120. doi: 10.1007/s00482-008-0741-x.
  • 7. Zhang B., Jung M., Tu Y. et al. (2019) Identifying brain regions associated with the neuropathology of chronic low back pain: a resting-state amplitude of low-frequency fluctuation study. Br. J. Anaesth., 123(2): e303–e311.
  • 8. Truini A., Barbanti P., Pozzilli C., Cruccu G. (2013) A mechanism-based classification of pain in multiple sclerosis. J. Neurol., 260(2): 351–367.
  • 9. Шаттенбург Л., Кульчинський Я. (2019) Психодинаміка болю. НЕЙРОNEWS, 4(105): 34–37.
  • 10. Негрич Т., Боженко Н., Боженко М. (2021) Вплив інтенсивності та нейропатичного компонента болю на якість життя хворих на розсіяний склероз. Запорож. мед. журн., 23(5): 628–635.
  • 11. Tauben D. (2022) Approach to the management of chronic non-cancer pain in adults. Multimodal pain therapy: principles and indications.
  • 12. Malfliet A., Kregel J., Coppieters I. et al. (2018) Effect of Pain Neuroscience Education Combined With Cognition-Targeted Motor Control Trainingon Chronic Spinal Pain: A Randomized Clinical Trial. JAMA Neurol., 75(7): 808–817.