scholarly journals Overlap of Five Chronic Pain Conditions: Temporomandibular Disorders, Headache, Back Pain, Irritable Bowel Syndrome, and Fibromyalgia

2020 ◽  
Vol 34 ◽  
pp. s15-s28
Author(s):  
Gary Slade
Keyword(s):  
Chronic Pain ◽  
Irritable Bowel Syndrome ◽  
Back Pain ◽  
Temporomandibular Disorders ◽  
Irritable Bowel ◽  
Chronic Pain Conditions

scholarly journals An Observational Study Comparing Fibromyalgia and Chronic Low Back Pain in Somatosensory Sensitivity, Motor Function and Balance

Healthcare ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1533
Author(s):  
José Antonio Mingorance ◽  
Pedro Montoya ◽  
José García Vivas Miranda ◽  
Inmaculada Riquelme
Keyword(s):  
Chronic Pain ◽  
Low Back Pain ◽  
Back Pain ◽  
Observational Study ◽  
Motor Function ◽  
Chronic Low Back Pain ◽  
Functional Performance ◽  
Low Back ◽  
Somatosensory Sensitivity ◽  
Chronic Pain Conditions

Fibromyalgia (FM) and chronic low back pain (CLBP) have shared pathophysiology and have a considerable impact on patients’ daily activities and quality of life. The main objective of this study was to compare pain impact, somatosensory sensitivity, motor functionality, and balance among 60 patients with FM, 60 patients with CLBP, and 60 pain-free controls aged between 30 and 65 years. It is essential to know the possible differences existing in symptomatology of two of the major chronic pain processes that most affect the population, such as FM and CLBP. The fact of establishing possible differences in sensory thresholds, motor function, and proprioceptive measures among patients with FM and CLBP could bring us closer to a greater knowledge of the chronic pain process. Through an observational study, a comparison was made between the three groups (FM, CLBP, and pain-free controls) evaluating functional performance, postural balance, kinematic gait parameters, strength, depression, fatigue, and sensitivity to pain and vibration. Patients with chronic pain showed worse somatosensory sensitivity (p < 0.001) and motor function (p < 0.001) than pain-free controls. Moreover, patients with FM showed greater pain impact (p < 0.001) and bigger somatosensory (p < 0.001) and motor deficiencies (p < 0.001) than patients with CLBP. Further research should explore the possible reasons for the greater deterioration in patients with FM in comparison with other chronic pain conditions. Our results, showing the multiple areas susceptible of deterioration, make it necessary to adopt interdisciplinary interventions focused both on physical and emotional dysfunction.

The prevalence of comorbid chronic pain conditions among patients with temporomandibular disorders

2021 ◽  
Author(s):  
Bethea A. Kleykamp ◽  
McKenzie C. Ferguson ◽  
Ewan McNicol ◽  
Ida Bixho ◽  
Lesley M. Arnold ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Temporomandibular Disorders ◽  
Chronic Pain Conditions

scholarly journals Mo1553 EVALUATION OF SENSORY SENSITIVITY AND SOMATIC AWARENESS AS INDIVIDUAL DIMENSIONS OF CHRONIC PAIN IN PATIENTS WITH IRRITABLE BOWEL SYNDROME

2020 ◽  
Vol 158 (6) ◽  
pp. S-892-S-893
Author(s):  
Adrienne Lenhart ◽  
Bruce D. Naliboff ◽  
Wendy Shih ◽  
Jennifer S. Labus ◽  
Arpana Gupta ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Irritable Bowel Syndrome ◽  
Sensory Sensitivity ◽  
Somatic Awareness ◽  
Irritable Bowel

Family History and Severity of Disability Associated with Chronic Low Back Pain

1985 ◽  
Vol 57 (3) ◽  
pp. 813-814 ◽  
Author(s):  
C. Alec Pollard
Keyword(s):  
Chronic Pain ◽  
Low Back Pain ◽  
Back Pain ◽  
Family History ◽  
Chronic Low Back Pain ◽  
Low Back ◽  
Pain Disability Index ◽  
Pain Disability ◽  
Severity Of Disability ◽  
Chronic Pain Conditions

76 patients with chronic low back pain were asked to complete the Pain Disability Index and a family history pain checklist. A significant positive relationship was found between severity of chronic pain disability and the number of chronic pain conditions in the patients' families of origin and genesis. These findings support the position that pain disability is learned from family members, but controlled research is needed before dismissing the possible role of genetic and other factors.

Efficacy and Safety of Antidepressants as Analgesics in Chronic Pain: A Review

2017 ◽  
Vol 41 (S1) ◽  
pp. S234-S234 ◽  
Author(s):  
J. Fennema ◽  
S. Petrykiv ◽  
L. de Jonge ◽  
M. Arts
Keyword(s):  
Chronic Pain ◽  
Neuropathic Pain ◽  
Low Back Pain ◽  
Back Pain ◽  
Selective Serotonin Reuptake Inhibitors ◽  
Maximum Tolerated Dose ◽  
Health Concern ◽  
Low Back ◽  
Efficacy And Safety ◽  
Chronic Pain Conditions

IntroductionDue to the aging population worldwide, chronic pain is becoming an important public health concern. Chronic pain is bidirectional associated with psychiatric disorders including depression and anxiety. Antidepressants are widely used as adjuvant therapy for the treatment of chronic pain for many disorders.Objectives and aimsTo review available literature on the efficacy and safety of antidepressants for the treatment of chronic pain, including neuropathic pain, fibromyalgia, low back pain, and chronic headache or migraine.MethodsWe performed a detailed literature review through PubMed, EMBASE and Cochrane's Library to assess the efficacy and safety of antidepressants in chronic pain conditions.ResultsIn neuropathic pain, fibromyalgia, low back pain, and chronic headaches/migraine, tricyclic antidepressants (TCAs) showed a significant analgesic effect. Selective serotonin reuptake inhibitors (SSRIs) are not effective for the treatment of low back pain and headaches or migraine. Venlafaxine, a serotonin norepinephrine reuptake inhibitor (SNRI) showed significant improvement of fibromyalgia and neuropathic pain. Duloxetine (SNRI) also reduced the pain in fibromyalgia.ConclusionTCAs are the ‘gold standard’ antidepressant analgesics. However, an electrocardiogram and postural blood pressure should be implemented prior to TCA treatment and TCAs should be initiated at low dosages and subsequently increased to the maximum tolerated dose. One should pay attention to their cardiotoxic potential, especially in the older population. For the treatment of neuropathic pain, SNRIs are second-line agents. Although better tolerated, in most types of chronic pain conditions, the effectiveness of SSRIs is limited. To conclude: start low, go slow, and prescribe with caution.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Irritable bowel syndrome as a cause of chronic pain in women attending a gynaecological clinic.

BMJ ◽  
1987 ◽  
Vol 294 (6581) ◽  
pp. 1228-1228
Author(s):  
C M Farquhar ◽  
P W Reginald ◽  
R W Beard
Keyword(s):  
Chronic Pain ◽  
Irritable Bowel Syndrome ◽  
Irritable Bowel

scholarly journals Neural Mechanisms of Temporomandibular Joint and Masticatory Muscle Pain: A Possible Role for Peripheral Glutamate Receptor Mechanisms

2005 ◽  
Vol 10 (3) ◽  
pp. 145-152 ◽  
Author(s):  
David K Lam ◽  
Barry J Sessle ◽  
Brian E Cairns ◽  
James W Hu
Keyword(s):  
Chronic Pain ◽  
Glutamate Receptors ◽  
Temporomandibular Joint ◽  
Temporomandibular Disorders ◽  
Muscle Pain ◽  
Neuronal Excitability ◽  
Experimental Pain ◽  
Ionotropic Glutamate Receptors ◽  
Peripheral Tissues ◽  
Chronic Pain Conditions

The purpose of the present review is to correlate recent knowledge of the role of peripheral ionotropic glutamate receptors in the temporomandibular joint and muscle pain from animal and human experimental pain models with findings in patients. Chronic pain is common, and many people suffer from chronic pain conditions involving deep craniofacial tissues such as temporomandibular disorders or fibromyalgia. Animal and human studies have indicated that the activation of peripheral ionotropic glutamate receptors in deep craniofacial tissues may contribute to muscle and temporomandibular joint pain and that sex differences in the activation of glutamate receptors may be involved in the female predominance in temporomandibular disorders and fibromyalgia. A peripheral mechanism involving autocrine and/or paracrine regulation of nociceptive neuronal excitability via injury or inflammation-induced release of glutamate into peripheral tissues that may contribute to the development of craniofacial pain is proposed.

Back pain and irritable bowel syndrome

2004 ◽  
Vol 127 (5) ◽  
pp. 1648-1649 ◽  
Author(s):  
P.J. Whorwell
Keyword(s):  
Irritable Bowel Syndrome ◽  
Back Pain ◽  
Irritable Bowel
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