Clinical study of chronic pain in hereditary myopathies.
In the field of neuromuscular diseases, pain and its management remain imperfectly understood and described. We study 68 unselected, consecutive adult patients attending a multidisciplinary consultation for hereditary myopathy. Forty-six (67%) were suffering from chronic pain. Pain was assessed with self report questionnaire and a standardized clinical evaluation. Mean duration of the pain was 7.2+/-8.9 years, and multiple body sites were involved in 91% of cases. Usual pain intensity (Visual Analogue Scale 0-100) was moderate (39.5+/-26.2). For 42 patients (91%) the principal cause of the pain was of muscular origin, with frequent features of myofascial pain syndromes (MPS, 50%) and fibromyalgia (FMS, 26%). Pain was the major complaint for 6.3% of the patients. Pain management was essentially based on physiotherapy. Only a minority of patients (38%) has an appropriate drug treatment. Common analgesics appeared to be very effective in these patients.
Delorme
Thierry
T
Centre d'Evaluation et de Traitement de la Douleur, Hôpital Saint-Antoine, 184 rue du Faubourg, 75102 Saint Antoine, Paris, France. thierry.delorme@curie.net
Boureau
François
F
Eymard
Bruno
B
Laforet
Pascal
P
Cottrel
Frédérique
F
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000700:Analgesics / Q000627:therapeutic use; D002908:Chronic Disease; D015331:Cohort Studies; D005260:Female; D005356:Fibromyalgia / Q000453:epidemiology / Q000235:genetics / Q000503:physiopathology; D005602:France / Q000453:epidemiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009135:Muscular Diseases / Q000453:epidemiology / Q000235:genetics* / Q000503:physiopathology*; D009209:Myofascial Pain Syndromes / Q000453:epidemiology / Q000235:genetics / Q000503:physiopathology; D010146:Pain / Q000209:etiology; D010147:Pain Measurement; D026741:Physical Therapy Modalities; D015995:Prevalence; D011788:Quality of Life; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires
D000700:Analgesics