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Pain

Clinical pain assessment: from bedside to better treatment

Nature Reviews Neurology volume 5, pages 359–361 (2009)Cite this article

Successfully treating chronic pain is challenging, as patients respond heterogeneously to analgesic treatments. Such variation in response can be attributed to differing underlying pain-generating mechanisms. A novel clinical bedside test that identifies distinct pain phenotypes might help deliver more-effective mechanism-based treatment strategies.

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References

  1. Scholz, J. et al. A novel tool for the assessment of pain: validation in low back pain. PLoS Med. 6, e1000047 (2009).

    Article  Google Scholar 

  2. Baron, R. Mechanisms of disease: neuropathic pain—a clinical perspective. Nat. Clin. Pract. Neurol. 2, 95–106 (2006).

    Article  Google Scholar 

  3. Woolf, C. J. et al. Towards a mechanism-based classification of pain? Pain 77, 227–229 (1998).

    Article  CAS  Google Scholar 

  4. Rolke, R. et al. Quantitative sensory testing in the German Research Network on Neuropathic Pain (DFNS): standardized protocol and reference values. Pain 123, 231–243 (2006).

    Article  CAS  Google Scholar 

  5. Bouhassira, D. et al. Comparison of pain syndromes associated with nervous or somatic lesions and development of a new neuropathic pain diagnostic questionnaire (DN4). Pain 114, 29–36 (2005).

    Article  Google Scholar 

  6. Freynhagen, R., Baron, R., Gockel, U. & Tölle, T. R. painDETECT: a new screening questionnaire to identify neuropathic components in patients with back pain. Curr. Med. Res. Opin. 22, 1911–1920 (2006).

    Article  Google Scholar 

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Authors and Affiliations

  1. Division of Neurological Pain Research and Therapy, Department of Neurology, University Hospital of Schleswig-Holstein, Kiel, Germany

    Gunnar Wasner & Ralf Baron

Authors
  1. Gunnar Wasner
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  2. Ralf Baron
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Correspondence to Gunnar Wasner.

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Competing interests

G. Wasner has acted as a consultant for Amgen and has received honoraria for speaking from Grünenthal, Medtronic, Mundipharma, and Pfizer Pharma. R. Baron has acted as a consultant or on the speaker's bureau for Allergan, Eisai, Genzyme, Grünenthal, Medtronic, Mundipharma, Pfizer Pharma, Sanofi Pasteur, and Schwarz. He has also received grants or research support from Genzyme, Grünenthal, and Pfizer Pharma.

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Wasner, G., Baron, R. Clinical pain assessment: from bedside to better treatment. Nat Rev Neurol 5, 359–361 (2009). https://doi.org/10.1038/nrneurol.2009.93

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