title: Clinical study of chronic pain in hereditary myopathies.
abstract: 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.
authors.affiliation: 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
authors.forename: Thierry
authors.initials: T
authors.lastname: Delorme
authors.forename: François
authors.initials: F
authors.lastname: Boureau
authors.forename: Bruno
authors.initials: B
authors.lastname: Eymard
authors.forename: Pascal
authors.initials: P
authors.lastname: Laforet
authors.forename: Frédérique
authors.initials: F
authors.lastname: Cottrel
mesh_terms: 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
chemical_list: D000700:Analgesics