4.4 Article

Chronic spinal cord injury pain: pharmacological and non-pharmacological treatments and treatment effectiveness

Journal

DISABILITY AND REHABILITATION
Volume 33, Issue 5, Pages 433-440

Publisher

TAYLOR & FRANCIS LTD
DOI: 10.3109/09638288.2010.498557

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Funding

  1. DALI for PAIN

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Method. aEuro integral Postal survey among 575 persons with SCI. The main outcome measures were the pain intensity score of the Chronic Pain Grade questionnaire, past and current pain treatments, and perceived effectiveness of current pain treatments. Results. aEuro integral Response rate was 49%% (279 persons) and 215 respondents (77.1%%) had CSCIP. Most respondents with CSCIP (62.8%%) reported more than one pain type, of which neuropathic pain was most frequently reported (69.3%%). Of this group with CSCIP, 63.8%% was currently involved in some kind of treatment, but nevertheless high levels of pain (mean 52.8 on a 0--100 scale) were reported. Massage (therapy)/relaxation (training), anticonvulsants, and non-steroidal anti-inflammatory drugs (NSAIDs) were the most often used treatments. The current treatments that were most often perceived as effective were acupuncture/magnetising, cannabis/alcohol, physiotherapy and exercise, and massage (therapy)/relaxation (training). TENS/ultrasound and antidepressants were least often perceived as effective. Conclusions. aEuro integral Many SCI pain treatments have been tried. Acupuncture/magnetising, cannabis/alcohol, and physiotherapy and exercise were considered most effective. Further research is needed to establish effective SCI pain treatments.

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