Chronic idiopathic pain syndromes.
In this review, we outline a rational approach to the complex problem of chronic idiopathic pain syndromes. We focus principally on musculoskeletal pain disorders and emphasize the differences between adults and children. The different nomenclatures in use are clarified and the epidemiology is examined. The key clinical findings are highlighted and different therapeutic approaches are reviewed. The evidence base for the interventions reviewed include both 'medical' and 'non-medical' approaches. Practical problems and issues are dealt with throughout the review in order to construct a pragmatic approach that the authors intend to be of everyday use to the clinician and allied health professionals.
Sen
Debajit
D
Department of Rheumatology, University College of London Hospitals NHS Trust and Great Ormond Street Hospital NHS Trust, Arthur Stanley House, 40-50 Tottenham Street, London W1T 4NJ, UK. debajit.sen@uclh.nhs.uk
Christie
Deborah
D
D000293:Adolescent; D000700:Analgesics / Q000627:therapeutic use; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D008297:Male; D009140:Musculoskeletal Diseases / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy*; D009407:Nerve Block / Q000379:methods; D010146:Pain / Q000175:diagnosis* / Q000453:epidemiology; D059408:Pain Management; D017288:Pain Threshold; D010148:Intractable Pain / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D011379:Prognosis; D018570:Risk Assessment; D012720:Severity of Illness Index; D013577:Syndrome; D004561:Transcutaneous Electric Nerve Stimulation / Q000379:methods; D016896:Treatment Outcome
D000700:Analgesics; D000894:Anti-Inflammatory Agents, Non-Steroidal