Pain Management And Quality Of Life In Neurology Perspective

KRT. Lucas Meliala; Jimmy Alexander; Yohan Budi Hartanto

doi:10.33476/knpk.v1i1.5284

Authors

KRT. Lucas Meliala Ilmu Penyakit Saraf FK UGM / RS Dr. Sardjito Yogyakarta
Jimmy Alexander Bagian Ilmu Penyakit Saraf FK UGM / RS Dr. Sardjito Yogyakarta
Yohan Budi Hartanto Bagian Ilmu Penyakit Saraf FK UGM / RS Dr. Sardjito Yogyakarta

https://doi.org/10.33476/knpk.v1i1.5284

Keywords:

pain, management, quality of life, neurology perspective

Abstract

Pain in neurology perspective is a multidimensional sensory experience that is intrinsically unpleasant, associated with hurting and soreness. Pain is not a homogeneous sensory entity, several different types of pain exist: nociceptive, inflammatory, neuropathic, and functional pain. Pain is also one of the most difficult medical problems to diagnose and treat and can be a common symptom of several psychiatric disorders. Pain-related issues are heterogeneous and often underestimated or misinterpreted, with the result that psychiatric interventions, which might have been beneficial from the outset. An area of constant debate regards the connection between pain and various psychiatric disorders, and the difficulty in the classification of pain disorders within the currently existing framework.
The neurobiological mechanisms responsible for pain in neurology perspective are beginning to be defined, providing insight into how distinct types of pain are generated by diverse etiologic factors, and in which patients. Moreover, we can now realistically expect to move from an empirical therapeutic approach to one that it is targeted specifically at the particular mechanisms of pain experienced by an individual patient.
Effective pain management depends on a comprehensive assessment that clarifies the pathogenesis and etiology and evaluates the degree to which symptom itself or its associated manifestasions undermine function and quality of life. The pharmacological treatment of pain is complex and implies a variety of different medications, from opioids to psychotropic medications like antidepressants and anticonvulsants.

References

Baron, R., Binder ,A., Wanert, G., 2010. Neuropathic Pain: Diagnosis, Pathophysiological Mechamism, and Treatment. Lancet Neurology, 9, 807-19

Bertakis, K.D., Azari, R., Callahan, E.J., 2004. Patient Pain in Primary Care: Factors That Influence Physician Diagnosis, Ann Fam Med;2:224-230

Byers M.R., Bonica J.J., 2001. Peripheral Pain Mechanisms and Nociceptor Plasticity. In: Loeser JD et al (eds) Bonica‟s Management of Pain. Lippincott William & Wilkins Philadelphia, pp 27-72

Cassidy, J.D., Carroll, L.J., Cote, P., 2000. Effect of eliminating compensation for pain and suffering on the outcome of insurance claims for whiplash injury, N Engl J Med;342:1179-1186

Disorbio, J.M., Bruns, D., Barolat, G., 2006. Assessment and Treatment of Chronic Pain: A physician‟s guide to a biopsychosocial approach, Practical Pain Management, March 2006.

Braden JB, Sullivan MD., 2008. Suicidal Thoughts and Behavior Among Adults with Selfreported Pain Conditions in The National Comorbidity Survey Replication. J Pain;9:1106–15.

Breslau N, Davis GC., 1993. Migraine, Physical Health and Psychiatric Disorder: A Prospective Epidemiologic Study in Young Adults. J Psychiatr Res;27:211–21

Brown RJ., 2004. Psychological mechanisms of medically unexplained symptoms: an integrative conceptual model. Psychol Bull;130:793–812

Clark MR., 2006. Psychogenic disorders: a pragmatic approach for formulation and treatment. Semin Neurol;26:357–65

Clark MR., 2009. Psychiatry and chronic pain: Examining the interface and designing a structure for a patient-center approach to treatment. European Journal of Pain;3:95–100

Dietrich JK., 2010. Psychology and Chronic Pain. Anaesthesia & Intensive Care Medicine; 12:2

Dogra S, Beydoun S, Mazzola J, et al., 2005. Oxcarbazepine in Painful Diabetic Neuropathy: A Randomized, Placebo-controlled Study. Eur J Pain, 9(5):543-554

Erickson B., 2005. Depression, anxiety, and substance use disorder in chronic pain. Techniques in Regional Anesthesia and Pain Management; 9: 200-203

Eisenberg E, Peterson D., 2010. Neuropathic Pain Pharmacotherapy. In: fishman SM, Ballantyne JC, Rathmell JP. Bonica‟s Management of Pain. Fourth edition. Philadelphia: Wolter Kluwer Health; 12-04

Goldenberg DL., 2010. Pain/Depression Dyad: A Key to a Better Understanding and Treatment of Functional Somatic Syndromes. The American Journal of Medicine;123:8

Lin EH, Katon W, Von Korff M, Tang L, Williams Jr JW, Kroenke K,. 2003. Effect of Improving Depression Care on Pain and Functional Outcomes Among Older Adults with Arthritis: A Randomized Controlled Trial. JAMA;290:2428–9

Mantyselka P, Ahonen R, Viinamaki H, Takala J, Kumpusalo E., 2002. Drug Use by Patients Visiting Primary Care Physicians due to Nonacute Musculoskeletal Pain. Eur J Pharm Sci;17:201–6

Markman J.D., Dworkin R.H., 2006. Ion channel Targets and Treatment Efficacy in Neuropathic Pain. The J of Pain; 7(18): S38-S47

Marazziti D, Mungai F, Vivarelli L, Presta S, Dell‟Osso B., 2006. Pain and psychiatry: a critical analysis and pharmacological review. Clinical Practice and Epidemiology in Mental Health; 2:31

McWilliams L, Cox BJ, Enns MW, 2003. Mood and Anxiety Disorders Associated with Chronic Pain: An Examination in a Nationally Representative Sample. Pain; 106:127–133

Merskey H., 2005. Psychiatry And Pain : Causes, Effects, And Complications. In: Merskey H et al (eds) The Paths of Pain. IASP Press Seattle, pp 421-429

Meyer, H.P., 2007. Pain management in primary care – current perspectives, S A Fam Pract;49(7):20-25

Meliala L, Suryamiharja A, Purba JS, Anggraini HA, 2000, Penuntun Praktis Nyeri Neuropati, Pokdi Nyeri Perdossi

Meliala L, 2004, Terapi Rasional Nyeri: Tinjauan Khusus Nyeri Neuropatik, Aditya Media, Yogyakarta

Meliala, L., Suryamiharja, A., Sadeli, H.A., Amir, D., Wirawan, R.B., 2007. Konsensus Nyeri Neuropatik PERDOSSI, Medika Gama Press, Yogyakarta

Meliala, L., 2008. Terapi Farmaka Nyeri, dalam: Meliala, L., Suryamiharja, A., Sadeli, H.A., Amir, D., Wirawan, R.B., (eds) Buku Ajar Nyeri Neuropatik, Medika Gama Press, Yogyakarta

Park H.J., Moon D.E., 2010. Pharmacologic Management of Chronic Pain. Korean J Pain June; 23( 2): 99-108

Perret, D., Luo, Z.D., 2009. Targeting Voltage-Gated Calcium Channels for Neuropathic Pain Management. Neurotherapeutics: The Journal of the American Society for Experimental NeuroTherapeutics, 6 (4), 679-692

Pappagallo M., 2003. Newer Antiepileptic Drugs: Possible Uses in the Treatment of Neuropathic Pain and Migraine. Clin Ther, 25: 2506–2538

Rief W, Barsky AJ., 2005. Psychobiological Perspectives on Somatoform Disorders. Psychoneuroendocrinology;30:996–1002.

Sauer SE, Burris JL, Carlson CR., 2010. New directions in the management of chronic pain: Self-regulation theory as a model for integrative clinical psychology practice. Clinical Psychology Review; 30: 805–814

Simon GE, VonKorff M, Piccinelli M, Fullerton C, Ormel J., 1999. An International Study of the Relation Between Somatic Symptoms and Depression. N Engl J Med;341:1329–35

Streltzer J, Eliashof BA, Kline AE, Goebert D., 2000. Chronic Pain Disorder Following Physical Injury. Psychosomatics;41:227–34

Twaddle ML, Cooke KJ., 2006. Assessment of Pain & Common Pain Syndrome. In: Roenn JH, Paice JA, Preoror ME. Pain Current Diagnosis & Treatment. International Eds. New York: Mc Graw Hill

Valet M, Gundel H, Sprenger T, Sorg C, Muhlau M, Zimmer C., 2009. Patients With Pain Disorder Show Gray-Matter Loss in Pain-Processing Structures: A Voxel-Based Morphometric Study. Psychosom Med;71:49–56

Verbunt JA, Pernot DHFM, Smeets RJEM., 2006. Disability and quality of life in patients with fibromyalgia. Health and Quality of Life Outcomes;6:8

Wegener ST, Castillo RC, Haythornthwaite J, MacKenzie EJ, Bosse MJ., 2011. Psychological distress mediates the effect of pain on function. PAIN;152: 1349–1357

Woolf, C. J., 2004: Pain: Moving from Symptom Control toward Mechanism-Specific Pharmacologic Management, Ann Intern Med; 140:441-451.