Pain Management in Spinal Cord Injury

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Pain[edit | edit source]

According to the International Association for the study of Pain (IASP), pain can be defined as "An unpleasant sensory and emotional experience associated with, or resembling that associated with, actual or potential tissue damage,”[1]

The prevalence of chronic pain after spinal cord injury varies from 34-90 % and among them 2/3rd of the patient suffer from chronic pain. [2]

Classification of pain[edit | edit source]

According to the International Spinal Cord Injury Pain Classification (ISCIPC), pain in Spinal Cord Injury (SCI) can be systematically classified into three tiers[3]:

  • The first tier (Tier 1) is classifying pain as nociceptive pain, neuropathic pain, other pain, and unknown pain.
  • The second tier (Tier 2) classifies various subtypes of pain under the category neuropathic and nociceptive pain.
  • The third tier (Tier 3) specifies the primary pain source at the organ level as well as the pathology if either is known. This tier also includes the pain or syndromes which do not fulfill the criteria for nociceptive or neuropathic pain.

Nociceptive pain is those arriving from a noxious stimulus through nociceptors (peripheral nerve endings or sensory receptors). Nociceptive pain can be further classified as musculoskeletal pain, visceral pain, and other types of pain.

Musculoskeletal pain can be defined as pain occurring in parts of the body with preserved sensation and that is due to nociceptors within musculoskeletal structures(muscles, tensors, lig, joints, bones).

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References[edit | edit source]

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  1. ↑ IASP Announces Revised Definition of Pain.Publication and News.Jul 16,2020.(cited: 12/6/2020) Available from: https://www.iasp-pain.org/PublicationsNews/NewsDetail.aspx?ItemNumber=10475
  2. ↑ Middleton J, Siddall P, Nicholson Perry K. Managing Pain for adults with spinal cord injury. Rural Spinal Cord Injury Project. 2002 Jun.
  3. ↑ Bryce TN, Biering-Sørensen F, Finnerup NB, Cardenas DD, Defrin R, Lundeberg T, Norrbrink C, Richards JS, Siddall P, Stripling T, Treede RD. International spinal cord injury pain classification: part I. Background and description. Spinal cord. 2012 Jun;50(6):413-7.
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