Fájdalom és fájdalomcsillapítás a reumatológiában

Translated title of the contribution: Pain and pain control in rheumatology

Research output: Contribution to journalArticle

Abstract

In developed industrial countries the overall population prevalence of chronic rheumatic pain is around 35%. A classification that is useful in everyday practice is based on the origin of musculoskeletal pain and lists pain associated with degenerative joint diseases, pain related to metabolic bone diseases, non-articular and soft tissue rheumatism, and pain due to inflammation. In chronic pain syndrome pain itself has lost its adaptive biological role, and presents as a pathogenetic factor in its own right, accompanied by significant vegetative and psychological symptoms. Therapeutic exercise is of basic importance in the management of rheumatic pain. It is supplemented by various pharmacologic and non-pharmacologic methods. The latter include, among others, fomentations, packs, balneo- and hydrotherapeutic methods, electro-, mechano- and thermotherapeutic approaches. Pharmacological therapy usually means the use of simple analgesics, non-steroidal antiinflammatory drugs, steroids, minor opiates, and, lately, also major opiates, which may be supplemented by adjuvant agents such as tricyclic antidepressants and anticonvulsive drugs. When indicating the most often used non-steroidal antiinflammatory drugs, their potential side effects should carefully be considered. Invasive pain-killing methods on the border area between anaesthesiology and rheumatology (epidural steroid administration, ganglionic blockade, intravenous regional blockade) are applied in cases that do not respond to conventional therapy, and sometimes also as successful first-line intervention.

Original languageHungarian
Pages (from-to)9-15
Number of pages7
JournalLege Artis Medicinae
Volume18
Issue number1
Publication statusPublished - Jan 2008

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Opiate Alkaloids
Rheumatology
Pain
Chronic Pain
Anti-Inflammatory Agents
Steroids
Nociceptive Pain
Musculoskeletal Pain
Anesthesiology
Metabolic Bone Diseases
Tricyclic Antidepressive Agents
Arthralgia
Pain Management
Rheumatic Diseases
Developed Countries
Osteoarthritis
Pharmaceutical Preparations
Anticonvulsants
Analgesics
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Fájdalom és fájdalomcsillapítás a reumatológiában. / Gaál, J.

In: Lege Artis Medicinae, Vol. 18, No. 1, 01.2008, p. 9-15.

Research output: Contribution to journalArticle

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