Psychogenic (nociplastic) pain: Current state of diagnosis, treatment options, and potentials of neurosurgical management.

Autor:	Isagulyan ED; Department of Functional Neurosurgery, Burdenko National Medical Research Center of Neurosurgery, Moscow, Russian Federation. Electronic address: emisagulyan@gmail.com., Makashova ES; Department of Functional Neurosurgery, Burdenko National Medical Research Center of Neurosurgery, Moscow, Russian Federation., Myasnikova LK; Pain Clinic, Center of Endosurgery and Lithotripsy, Moscow, Russian Federation., Sergeenko EV; Department of Functional Neurosurgery, Burdenko National Medical Research Center of Neurosurgery, Moscow, Russian Federation., Aslakhanova KS; Department of Functional Neurosurgery, Burdenko National Medical Research Center of Neurosurgery, Moscow, Russian Federation., Tomskiy AA; Department of Functional Neurosurgery, Burdenko National Medical Research Center of Neurosurgery, Moscow, Russian Federation., Voloshin AG; Pain Clinic, Center of Endosurgery and Lithotripsy, Moscow, Russian Federation., Kashcheev AA; Department of Neurosurgery, Research Center of Neurology, Moscow, Russian Federation.
Jazyk:	angličtina
Zdroj:	Progress in brain research [Prog Brain Res] 2022; Vol. 272 (1), pp. 105-123. Date of Electronic Publication: 2022 May 18.
DOI:	10.1016/bs.pbr.2022.03.008
Abstrakt:	Classification of pain syndromes is quite multifaceted. However, pathogenetic classification by which chronic pain syndromes are usually divided into nociceptive, neuropathic and psychogenic, is crucial in choosing treatment tactics. In modern classifications, psychogenic pain is distinguished from nociceptive pain (associated with direct tissue injury or damage) and neuropathic pain (in which lesion can only be determined morphologically). Mental disorders play a leading role in psychogenic pain. Here, somatic/neurological disorders, if any, are of no pathogenetic significance in the dynamics of pain syndrome. There are certain algorithms (though not yet fully developed) and even guidelines for diagnosing and treating nociceptive and neuropathic pain, whereas psychogenic pain has been and still is almost out of sight for a long time. Despite its considerable prevalence, attitude towards it is still uncertain. Until now, it has no single classification, nor any strategy with regards to diagnosis, treatment and prevention. (Copyright © 2022 Elsevier B.V. All rights reserved.)
Databáze:	MEDLINE
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