Recognition and Treatment of Central Sensitization in Chronic Pain Patients: Not Limited to Specialized Care
Modern pain neuroscience has substantially improved our understanding of the (development of) chronic musculoskeletal pain. The time has come for orthopaedic and sports physical therapists to implement modern pain neuroscience in specialized, but definitely also in primary, care settings, including...
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| Veröffentlicht in: | The journal of orthopaedic and sports physical therapy 2016-12, Vol.46 (12), p.1024-1028 |
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| container_title | The journal of orthopaedic and sports physical therapy |
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| creator | Nijs, Jo Goubert, Dorien Ickmans, Kelly |
| description | Modern pain neuroscience has substantially improved our understanding of the (development of) chronic musculoskeletal pain. The time has come for orthopaedic and sports physical therapists to implement modern pain neuroscience in specialized, but definitely also in primary, care settings, including the role of central sensitization (CS) in amplifying and explaining the presence of the pain experience. Central sensitization dominates the clinical picture in a subgroup of the musculoskeletal pain population, ranging from tennis elbow over shoulder pain to osteoarthritis and whiplash. Applying modern pain neuroscience to clinical practice implies (1) recognizing those patients having predominant CS pain, and (2) accounting for CS when designing the treatment plan in those with predominant CS pain. Future work in this area should (1) examine the validity of the proposed clinical classification algorithm for identifying CS pain in patients with orthopaedic and sports injuries, and (2) explore evidence-based treatment options for patients having predominant CS pain. J Orthop Sports Phys Ther 2016;46(12):1024-1028. doi:10.2519/jospt.2016.0612. |
| doi_str_mv | 10.2519/jospt.2016.0612 |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Journals@Ovid Complete |
| subjects | Central Nervous System Sensitization - physiology Chronic Pain - physiopathology Chronic Pain - psychology Humans Musculoskeletal Pain - diagnosis Musculoskeletal Pain - therapy Neuralgia - diagnosis Neuralgia - therapy Nociception Orthopedics Pain Measurement Sports Medicine |
| title | Recognition and Treatment of Central Sensitization in Chronic Pain Patients: Not Limited to Specialized Care |
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