Central Sensitization in Patients with Rheumatoid Arthritis: A Systematic Literature Review

Meeus, Mira; Vervisch, Stijn; Clerck, Luc S. De; Moorkens, Greta; Hans, Guy; Nijs, Jo

doi:10.1016/j.semarthrit.2011.08.001

Cited by 177 publications

(128 citation statements)

References 36 publications

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“…In winter swimming studies a regular repeat has been shown to give a better result both in biological and psychological measures (16,17).The unexpected result that women reacted in a different way in this study is, however, in line with the earlier findings that women with inflammatory disease score higher subjective but not objective disease activity measures than men (18). This may be partly due to the central component of the patient's pain (19). Central pain may both play a more significant role by women (17) and central pain may also be more affected by this kind of treatment.…”

supporting

confidence: 85%

Effects of cold mist shower on patients with inflammatory arthritis: a crossover controlled clinical trial

Hinkka¹,

Väättänen²,

Ala-Peijari³

et al. 2016

Scandinavian Journal of Rheumatology

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Objectives: To evaluate safety and effects of a new home treatment method, a whole-body cold mist treatment, on chronic inflammatory arthritis patients.Method: Whole-body cold mist shower therapy was given to 121 voluntary patients with chronic inflammatory arthritis in this cross-over study during one week rehabilitation periods. Pain and sleep quality were assessed by a ten centimeter visual analogue scale (VAS). Mental status was assessed by DEPS -depression score. Body temperature, blood pressure, heart rate, use of occasional pain and sleep medication, and possible side effects were recorded.

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supporting

confidence: 85%

Effects of cold mist shower on patients with inflammatory arthritis: a crossover controlled clinical trial

Hinkka¹,

Väättänen²,

Ala-Peijari³

et al. 2016

Scandinavian Journal of Rheumatology

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“…[52] Further, FM-like symptoms frequently occur in patients with RA, OA, and regional musculoskeletal pain, and the degree of these FMlike symptoms predicts pain intensity and degree of disability in these patients. [53][54][55][56] In studies of OA and RA, 11% of patients with OA and 15% of patients with RA also had FM. [57,58] Other classifications of chronic pain Traditionally, classification of chronic pain has been based on signs, symptoms, body location, or information on structural pathology (e.g.…”

Section: Understanding Chronic Painmentioning

confidence: 99%

Rethinking chronic pain in a primary care setting

Stanos

Brodsky

Argoff

et al. 2016

Postgraduate Medicine

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Chronic pain substantially impacts patient function and quality of life and is a burden to society at large in terms of increased health care utilization and loss of productivity. As a result, there is an increasing recognition of chronic pain as a public health crisis. However, there remains wide variability in clinical practices related to the prevention, assessment, and treatment of chronic pain. Certain fundamental aspects of chronic pain are often neglected including the contribution of the psychological, social, and contextual factors associated with chronic pain. Also commonly overlooked is the importance of understanding the likely neurobiological mechanism(s) of the presenting pain and how they can guide treatment selection. Finally, physicians may not recognize the value of using electronic medical records to systematically capture data on pain and its impact on mood, function, and sleep. Such data can be used to monitor onset and maintenance of treatments effects at the patient level and evaluate costs at the systems level. In this review we explain how these factors play a critical role in the development of a coordinated, evidence-based treatment approach tailored to meet specific needs of the patient. We also discuss some practical approaches and techniques that can be implemented by clinicians in order to enhance the assessment and management of individuals with chronic pain in primary care settings. ARTICLE HISTORY

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“…However, there is little evidence that central inhibitory pain modulation processes are compromised [27].…”

Section: Disruption Of Central Pain Modulation Processesmentioning

confidence: 99%

Painful effects of auditory startle, forehead cooling and psychological stress in patients with fibromyalgia or rheumatoid arthritis

Drummond

Willox

2013

Journal of Psychosomatic Research

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Objective. The aim of this study was to determine whether the clinical pain associated with rheumatoid arthritis or fibromyalgia would increase during standard laboratory tasks and, if so, whether these increases were linked with individual differences in psychological distress. Methods.Twenty-three patients with fibromyalgia and 16 patients with rheumatoid arthritis rated changes in clinical pain after an acoustic startle stimulus, during painful forehead cooling, and during stressful mental arithmetic. In addition, pain tolerance was assessed during a submaximal effort tourniquet test, and patients provided ratings of distress on a standard Depression, Anxiety and Stress Inventory.Results. Pain at rest was associated with depression scores in patients with rheumatoid arthritis, and was associated with stress scores in the fibromyalgia group. However, pain tolerance was unrelated to individual differences in psychological distress in either group. In patients with fibromyalgia, clinical pain increased after the acoustic startle stimulus and painful forehead cooling, and increased during stressful mental arithmetic. Arthritic pain also increased during forehead cooling and mental arithmetic in association with indices of psychological distress.Conclusions. These findings suggest that processes linked with individual differences in distress aggravate pain in rheumatoid arthritis, whereas some other mechanism (e.g., failure of stress-related pain modulation processes or an aberrant interaction between nociceptive afferent and sympathetic efferent fibres) triggers stress-induced pain in fibromyalgia.

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Central Sensitization in Patients with Rheumatoid Arthritis: A Systematic Literature Review

Cited by 177 publications

References 36 publications

Effects of cold mist shower on patients with inflammatory arthritis: a crossover controlled clinical trial

Effects of cold mist shower on patients with inflammatory arthritis: a crossover controlled clinical trial

Rethinking chronic pain in a primary care setting

Painful effects of auditory startle, forehead cooling and psychological stress in patients with fibromyalgia or rheumatoid arthritis

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