Central pain

Steven Cohen, Salahadin Abdi

Research output: Contribution to journalArticle

Abstract

Purpose of review: As a result of its accompanying co-morbidity, our lack of understanding regarding its mechanisms, and its resistance to conventional treatment, central pain is one of the most formidable challenges pain physicians are faced with. The objective of this review is to summarize recent advances in our understanding of the etiology, clinical presentation, and treatment of central pain, with special emphasis being placed on studies published within the past year. Recent findings: Recent evidence suggests that not only injuries commonly associated with central pain, such as strokes and spinal cord lesions, but also disorders such as fibromyalgia, phantom limb pain and tension-type headaches may involve central phenomena. Perhaps because of the lack of clinical trials, treatment is still largely based on traditional prescribing methods and anecdotal evidence. Recent studies have indicated possible roles for tricyclic antidepressants, anti-seizure medications, and motor cortex stimulation in the treatment of central pain. Summary: Injury to the spinothalamocortical pathways is a necessary, but not sufficient factor in the pathogenesis of central pain. Perhaps because of the similarities in mechanisms, there is considerable overlap between effective treatments for central pain and those for peripheral neuropathic pain. Our poor understanding of the etiology of central pain and the relative lack of effective treatments emphasize the need for further research into this elusive disorder.

Original languageEnglish (US)
Pages (from-to)575-581
Number of pages7
JournalCurrent Opinion in Anaesthesiology
Volume15
Issue number5
DOIs
StatePublished - Oct 2002
Externally publishedYes

Fingerprint

Pain
Therapeutics
Phantom Limb
Tension-Type Headache
Fibromyalgia
Tricyclic Antidepressive Agents
Wounds and Injuries
Motor Cortex
Neuralgia
Spinal Cord
Seizures
Stroke
Clinical Trials
Morbidity
Physicians
Research

Keywords

  • Central pain
  • Pathophysiology
  • Spinal cord injury

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Central pain. / Cohen, Steven; Abdi, Salahadin.

In: Current Opinion in Anaesthesiology, Vol. 15, No. 5, 10.2002, p. 575-581.

Research output: Contribution to journalArticle

Cohen, Steven ; Abdi, Salahadin. / Central pain. In: Current Opinion in Anaesthesiology. 2002 ; Vol. 15, No. 5. pp. 575-581.
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