Management of Pain in Parkinson's Disease
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Management of Pain in Parkinson's Disease. / Buhmann, Carsten; Kassubek, Jan; Jost, Wolfgang H.
In: J PARKINSON DIS, Vol. 10, No. s1, 2020, p. S37-S48.Research output: SCORING: Contribution to journal › SCORING: Review article › Research
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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 -