[Pain not associated with hypernociception. A physiopathologic, clinical and therapeutic approach].
It would be simplistic to consider the reality of pain as nothing more than heightened sensitivity to the pain. There are actually five types of pain, and it is often difficult to distinguish between them. Whereas hypernociceptive pain is mainly treated with analgesics belonging to one of the three categories as defined by the WHO, the mechanisms and treatment of the other four types of pain are very different It is obvious that close co-operation between the various healthcare professionals is indispensable in the treatment of these patients, while keeping in mind that the physician is "a symbol, an intermediary, a medicine that's better than medicine: the medicine works because it's a symbol - it's a symbol because it works". (P. Queneau and G. Ostermann.)
Queneau
P
P
Hôpital Bellevue, boulevard Pasteur, F 42055 Saint-Etienne Cedex 2.
Navez
M
M
Laurent
B
B
Peyron
R
R
D006801:Humans; D006930:Hyperalgesia; D009437:Neuralgia / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D010146:Pain / Q000175:diagnosis / Q000503:physiopathology* / Q000523:psychology; D059408:Pain Management; D011602:Psychophysiologic Disorders / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy