Assessment of persistent pelvic pain after hysterectomy: Neuropathic or nociceptive?

Hagemann, Cecilie Therese; Kirste, Unni

doi:10.1016/j.sjpain.2016.01.006

Cited by 2 publications

(2 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the current study, nearly half of the patients were assessed to be experiencing neuropathic pain. It has been proposed that different combinations of mechanisms involved in neuropathic and nociceptive pain might cause persistent pain after hysterectomy [ 16 , 17 ], which may probably explain the high pavelance of neuropathic pain in our study.…”

Section: Discussionmentioning

confidence: 74%

Incidence and risk factors of chronic pain following hysterectomy among Southern Jiangsu Chinese Women

et al. 2017

View full text Add to dashboard Cite

BackgroundChronic post-surgical pain (CPSP) after hysterectomy has been recognized as a major clinical problem in the Western World. Reports on post-hysterectomy pain are relatively scarce in China. The aim of the current study was to prospectively investigate the incidence and the potential risk factors of CPSP at 3 months following hysterectomy in Chinese population.MethodsWe assessed and collected data on preoperative socio-demographic characteristics, preexisting pain, anxiety and depression, sexual satisfaction, intra-operative variables, and acute postoperative pain intensity in a cohort of 870 women undergoing hysterectomy. The participants were interviewed to determine their suitability to diagnostic criteria of CPSP 3 months later. Logistic regression analyses were subsequently performed to identify predictors for CPSP.ResultsThe incidence of CPSP at 3 months after hysterectomy was 27.7%. Most of the women with CPSP suffered from mild pain and had a slight impact on daily life with sleep and emotion functional limitation. Risk factors for CPSP after hysterectomy were preoperative anxiety, depression, pelvic pain, preexisting pain, very-moderate sexual dissatisfaction, and acute postoperative pain at movement. Intra-operative dexmedetomidine infusion with 0.5 μg/kg/h was associated with a decreased incidence rate of chronic post-hysterectomy pain.ConclusionTwenty-eight percent of patients after hysterectomy in southern Jiangsu china had CPSP with 92% of those women describing it as mild with sleep and emotion functional limitation. Patients with preoperative anxiety and depression, poor sexual satisfaction, preexisting pain, and acute postoperative pain on movement have been identified to be at risk to develop CPSP.

show abstract

Section: Discussionmentioning

confidence: 74%

Incidence and risk factors of chronic pain following hysterectomy among Southern Jiangsu Chinese Women

et al. 2017

View full text Add to dashboard Cite

show abstract

“…Nociceptive pain can occur as the result of damage to body structures such as skin, muscles, and viscera. The damage can be from mechanical, thermal, or chemical stimuli and can be focally located and somatic (e.g., a pain in the knee following a fall) or diffuse or referred in the case of visceral pain (e.g., an intense and painful feeling of pressure in the abdomen after bladder surgery; Hagemann & Kirste, 2016). In contrast, neuropathic pain is the result of damage to the nervous system.…”

Section: Chronic Painmentioning

confidence: 99%

Cognitive behavioral therapy for chronic pain.

Otis¹,

Keller²,

Chevalier³

2021

Handbook of Cognitive Behavioral Therapy: Applications (Vol. 2).

View full text Add to dashboard Cite

C hronic pain has been viewed through a variety of lenses and perspectives over the last century. For example, approximately 50 years ago, chronic pain was viewed by clinicians in much the same way as acute pain. Namely, clinicians believed that once an injury healed, pain would resolve, and if it failed to resolve, the problem was viewed as "psychological" rather than physical. Naturally, this conclusion was quite distressing to patients whose pain persisted; these patients felt their pain was real and not simply "in their heads." However, our current understanding of the etiology of chronic pain has greatly evolved. We are now aware of how biological, psychological, and social factors can impact the experience of pain, and how to address these factors in order to best alleviate suffering. Cognitive behavioral therapy (CBT) for chronic pain now has substantial empirical support, is considered an evidence-based treatment, and is widely used as stand-alone treatment or as part of multidisciplinary pain treatment programs. Research has contributed to our understanding of the various factors that should be considered when providing CBT and, more recently, is focusing on ways in which clinicians can tailor CBT to the specific needs of each patient in order to maximize treatment efficacy.The primary aim of this chapter is to provide a thorough review of the literature on chronic pain and efficacious psychological treatments for pain, focusing on cognitive behavioral approaches. The chapter begins with a review of the definitions of pain, as well as the different types of pain that can be experienced, and data on the prevalence and costs associated with chronic pain.

show abstract

Assessment of persistent pelvic pain after hysterectomy: Neuropathic or nociceptive?

Cited by 2 publications

References 17 publications

Incidence and risk factors of chronic pain following hysterectomy among Southern Jiangsu Chinese Women

Incidence and risk factors of chronic pain following hysterectomy among Southern Jiangsu Chinese Women

Cognitive behavioral therapy for chronic pain.

Contact Info

Product

Resources

About