Headache, low back pain, other nociceptive and mixed pain conditions in neurorehabilitation. Evidence and recommendations from the Italian Consensus Conference on Pain in Neurorehabilitation

A. Picelli, M.G. Buzzi, Carlo Cisari, M. Gandolfi, D. Porru, Silvia Bonadiman, Annalisa Brugnera, R. Carone, R. Cerbo, U. Del Carro, R. Gimigliano, M. Invernizzi, D. Miotti, R. Nappi, S. Negrini, V. Schweiger, C. Tassorelli, Stefano Tamburin

Research output: Contribution to journalArticle

Abstract

Pain is a disabling symptom and is often the foremost symptom of conditions for which patients undergo neurorehabilitation. We systematically searched the PubMed and Embase electronic databases for current evidence on the frequency, evolution, predictors, assessment, and pharmacological and non-pharmacological treatment of pain in patients with headache, craniofacial pain, low back pain, failed back surgery syndrome, osteoarticular pain, myofascial pain syndrome, fibromyalgia, and chronic pelvic pain. Despite the heterogeneity of published data, consensus was reached on pain assessment and management of patients with these conditions and on the utility of a multidisciplinary approach to pain therapy that combines the benefits of pharmacological therapy, physiotherapy, neurorehabilitation, and psychotherapy. We of the Italian Consensus Conference on Pain in Neurorehabilitation (ICCPN) suggest a need to conduct randomized controlled trials on the efficacy of pain treatments and their risk-benefit profile for the conditions we have reviewed. © 2016 Edizioni Minerva Medica.
Original languageEnglish
Pages (from-to)867-880
Number of pages14
JournalEuropean Journal of Physical and Rehabilitation Medicine
Volume52
Issue number6
Publication statusPublished - 2016

Keywords

  • Arthralgia
  • Facial pain
  • Failed back surgery syndrome
  • Fibromyalgia
  • Headache
  • Low back pain

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