Management of Pain in Parkinson's Disease

TY - JOUR

T1 - Management of Pain in Parkinson's Disease

AU - Buhmann, Carsten

AU - Kassubek, Jan

AU - Jost, Wolfgang H

PY - 2020

Y1 - 2020

N2 - Pain is a very frequent symptom with influence on the quality of life in Parkinson's disease (PD), but is still under diagnosed and commonly treated only unsystematically. Pain etiology and pain character are often complex and multi causal, and data regarding treatment recommendations are limited. Pain can be primarily related to PD but frequently it is associated with secondary diseases, such as arthrosis of the spine or joints. However, even basically PD-unrelated pain often is amplified by motor- or non-motor PD symptoms, such as akinesia or depression. Beyond an optimization of anti-parkinsonian treatment, additional pain treatment strategies are usually needed to properly address pain in PD. A careful pain history and diagnostic work-up is essential to rate the underlying pain pathophysiology and to develop a targeted therapeutic concept. This review gives an overview on how pain is treated in PD patients and how patients assess the effectiveness of these therapies; here, the manuscript focuses on pathophysiology-driven suggestions for a multimodal pain management in clinical practice.

AB - Pain is a very frequent symptom with influence on the quality of life in Parkinson's disease (PD), but is still under diagnosed and commonly treated only unsystematically. Pain etiology and pain character are often complex and multi causal, and data regarding treatment recommendations are limited. Pain can be primarily related to PD but frequently it is associated with secondary diseases, such as arthrosis of the spine or joints. However, even basically PD-unrelated pain often is amplified by motor- or non-motor PD symptoms, such as akinesia or depression. Beyond an optimization of anti-parkinsonian treatment, additional pain treatment strategies are usually needed to properly address pain in PD. A careful pain history and diagnostic work-up is essential to rate the underlying pain pathophysiology and to develop a targeted therapeutic concept. This review gives an overview on how pain is treated in PD patients and how patients assess the effectiveness of these therapies; here, the manuscript focuses on pathophysiology-driven suggestions for a multimodal pain management in clinical practice.

U2 - 10.3233/JPD-202069

DO - 10.3233/JPD-202069

M3 - SCORING: Review article

C2 - 32568113

VL - 10

SP - S37-S48

JO - J PARKINSON DIS

JF - J PARKINSON DIS

SN - 1877-7171

IS - s1

ER -