EXPORT CITATION

Chapter-040 Spinal Cord Injury-Related Pain

BOOK TITLE: Ramamurthy's Decision Making in Pain Management: An Algorithmic Approach

Author
1. J Averna
2. Saulino Medical Director of Pain Management Ventura County Medical Center, Ventura, CA, USA
3. Assistant Professor, Department of Rehabilitation Medicine Thomas Jefferson University, Philadelphia, PA, USA
ISBN
9789386261458
DOI
10.5005/jp/books/14128_41
Edition
3/e
Publishing Year
2018
Pages
4
Author Affiliations
1. Temple University Hospital, Philadelphia, PA, USA
2. M
Chapter keywords
Spinal cord injury, SCI, ISCIP classification heterotopic ossification, tricyclic antidepressant, TCA, randomized controlled trial, RCT, dorsal root entry zone, DREZ

Abstract

Treatment of spinal cord injury (SCI)-related pain is challenging for the treating physician and a devastating neurological condition for the patient. Appropriate treatment of SCI-related pain requires a comprehensive and multidisciplinary approach. Many classification systems have emerged to better classify chronic SCI-related pain. One system known as the International Spinal Cord Injury Pain (ISCIP) classification provides a consensus classification of pain after SCI. A detailed history and physical examination assists in classifying the pain into general categories of nociceptive, visceral, or neuropathic type pain. Intrathecal therapies have demonstrated promising pain relief, but the intrathecal route is also associated with long-term side effects and tolerance, which has an impact on benefit. Intrathecal baclofen has been effective in the treatment of spasm-related pain and intrathecal morphine bolus displayed positive effects in a randomized controlled trial for central pain.

Related Books

© 2019 Jaypee Brothers Medical Publishers (P) LTD.   |   All Rights Reserved