Artículo
Diagnosis and Management of Pain in Parkinson's Disease: A New Approach
Mylius, Veit; Möller, Jens Carsten; Bohlhalter, Stephan; Ciampi de Andrade, Daniel; Perez Lloret, Santiago
Fecha de publicación:
07/2021
Editorial:
Adis Int Ltd
Revista:
Drugs And Aging
ISSN:
1170-229X
e-ISSN:
1179-1969
Idioma:
Inglés
Tipo de recurso:
Artículo publicado
Clasificación temática:
Resumen
Pain is a frequent and disabling non-motor feature of Parkinson’s disease (PD). The recently proposed PD Pain Classification System (PD-PCS) allows for an association of pain with PD to be determined before being allocated to the main pain mechanism (i.e. nociceptive, neuropathic, and nociplastic). In this article, previous studies on treatments for pain in PD are summarized according to the pain mechanisms. A mechanistic approach to treatment is discussed. We suggest that the first step should be optimizing dopaminergic therapy before other therapy is started. When these treatments remain unsuccessful, further causes of pain must be considered. The role of drugs, invasive treatments, and physiotherapeutic interventions are discussed with a focus on older PD patients and considering polypharmacy, altered pharmacokinetics, and comorbidities.
Palabras clave:
Parkinson's Disease
,
Pain
,
Diagnosis
,
Treatment
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Articulos(SEDE CENTRAL)
Articulos de SEDE CENTRAL
Articulos de SEDE CENTRAL
Citación
Mylius, Veit; Möller, Jens Carsten; Bohlhalter, Stephan; Ciampi de Andrade, Daniel; Perez Lloret, Santiago; Diagnosis and Management of Pain in Parkinson's Disease: A New Approach; Adis Int Ltd; Drugs And Aging; 38; 7; 7-2021; 559-577
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