Management of pain in Parkinson's disease.
Publication/Presentation Date
11-1-2012
Abstract
Pain is a common symptom in Parkinson's disease (PD) and accounts for substantial morbidity in up to 80 % of patients. Despite contributing to disease-related discomfort and disability, pain in PD frequently goes underacknowledged and undertreated in clinical practice. Although the exact underlying neurophysiology is unclear, there is increasing understanding of the role of the basal ganglia in somatosensory processing, as well as involvement of additional brainstem structures and non-dopaminergic pathways; appreciation of these mechanisms has implications for treatment strategies. Categorizing painful symptoms based on their clinical description into musculoskeletal, dystonic, radicular-peripheral neuropathic and central pain categories provides a useful framework for management. Importantly, these symptoms should be evaluated in relation to motor symptoms and dopaminergic therapy. A multi-disciplinary approach is recommended as follows: physical therapy, liaison with pain management and consultations to rheumatological, orthopaedic and neurosurgical services should be considered.
Volume
26
Issue
11
First Page
937
Last Page
948
ISSN
1179-1934
Published In/Presented At
Sophie, M., & Ford, B. (2012). Management of pain in Parkinson's disease. CNS drugs, 26(11), 937–948. https://doi.org/10.1007/s40263-012-0005-2
Disciplines
Medicine and Health Sciences
PubMedID
23055368
Department(s)
Department of Medicine
Document Type
Article