Spinal cord injury pain

Phys Med Rehabil Clin N Am. 2014 May;25(2):397-410. doi: 10.1016/j.pmr.2014.01.002. Epub 2014 Mar 14.

Abstract

Chronic pain associated with traumatic spinal cord injury (SCI) can be quite challenging to the physiatrist. This highly prevalent condition within the SCI population requires an appropriate evaluative approach including a thorough history, a targeted physical examination, and appropriate use of diagnostic testing. The International Spinal Cord Injury Pain Classification allows for a reasonable categorization of the various pain syndromes and may assist in selecting a reasoned treatment strategy. A multitude of management approaches exist including nonpharmacologic, pharmacologic, and interventional approaches. This article provides an overview of the epidemiology, classification, evaluation, and management of SCI-associated pain.

Keywords: Musculoskeletal pain; Neuropathic pain; Spasticity; Spinal cord injury.

Publication types

  • Review

MeSH terms

  • Analgesics / therapeutic use
  • Chronic Pain / classification*
  • Chronic Pain / etiology
  • Chronic Pain / therapy
  • Combined Modality Therapy
  • Female
  • Humans
  • Male
  • Muscle Spasticity / etiology
  • Muscle Spasticity / physiopathology*
  • Muscle Spasticity / therapy
  • Musculoskeletal Pain / classification*
  • Musculoskeletal Pain / etiology
  • Musculoskeletal Pain / therapy
  • Pain Management / methods*
  • Physical Therapy Modalities
  • Prognosis
  • Risk Assessment
  • Severity of Illness Index
  • Spinal Cord Injuries / complications*
  • Spinal Cord Injuries / diagnosis
  • Spinal Cord Injuries / therapy
  • Treatment Outcome

Substances

  • Analgesics