Chapter

Pain in spinal cord injury

Aleksandar Berić

in Spinal Cord Dysfunction: Volume II: Intervention and Treatment

Published in print December 1991 | ISBN: 9780192617873
Published online March 2012 | e-ISBN: 9780191724312 | DOI: http://dx.doi.org/10.1093/acprof:oso/9780192617873.003.0011
Pain in spinal cord injury

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Sustaining a spinal cord injury (SCI), even a severe one, does not necessarily entail pain, although the majority of SCI patients in the acute phase do experience pain, which usually subsides with medical management. In the chronic phase, however, about one-third of SCI patients complain of sensory disturbances, either pain or unpleasant sensations called dysaesthesiae. In chronic SCI patients it is not only the incidence of pain, but its intractability which is important. While treating these patients two problems have to be dealth with: one is the chronic pain syndrome, with all its complexities; and the other is a chronic neurogenic dysfunction. The need for treatment of chronic pain continues, and the potential for developing drug-tolerance and addiction must be addressed prior to the onset of therapy. This chapter concentrates upon neurogenic pain in SCI, particularly pain which might have been caused by injury to the spinal cord.

Keywords: spinal cord injury; sensory disturbances; dyaesthesiae; chronic pain syndrome; chronic neurogenic dysfunction; rehabilitation; cognitive functions

Chapter.  4598 words. 

Subjects: Neuroscience

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