Regional Pain Is Usually Hysterical

Pain and functional neurological disorder: a systematic review and meta-analysis

“…Only five studies described FND diagnoses among patients attending specialist chronic pain services. Studies from the 1980s described ‘conversion disorder’ in 1/43 (2%), 108/283 (38%) and 15/35 (43%) patients with chronic pain 46–48. Non-dermatomal sensory abnormalities, which are FND-related sensory disturbances, were also common among patients attending chronic pain services (74/283 (26%) and 100/247 (40%)) 49 50…”

“…More generally, there is a lack of high-quality literature on the role of multidisciplinary care for patients with pain and FND. In addition to studies which described the pain characteristics of patients with FND, we identified a small number of papers from 1986 to 2003 which quantified diagnoses of FND and non-dermatomal sensory abnormalities in specialised pain clinics 46–50. A recent study from our own group, which was published after our search was conducted, described FND diagnoses in 17% of 190 patients attending a regional chronic pain service and undiagnosed neurological symptoms in a further 6% 64.…”

“…In addition to studies which described the pain characteristics of patients with FND, we identified a small number of papers from 1986 to 2003 which quantified diagnoses of FND and non-dermatomal sensory abnormalities in specialised pain clinics. [46][47][48][49][50] A recent study from our own group, which was published after our search was conducted, described FND diagnoses in 17% of 190 patients attending a regional chronic pain service and undiagnosed neurological symptoms in a further 6%. 64 In addition, patients with comorbid FND were more likely to have a chronic primary pain disorder, such as fibromyalgia.…”

Pain and functional neurological disorder: a systematic review and meta-analysis

“…Only five studies described FND diagnoses among patients attending specialist chronic pain services. Studies from the 1980s described ‘conversion disorder’ in 1/43 (2%), 108/283 (38%) and 15/35 (43%) patients with chronic pain 46–48. Non-dermatomal sensory abnormalities, which are FND-related sensory disturbances, were also common among patients attending chronic pain services (74/283 (26%) and 100/247 (40%)) 49 50…”

“…More generally, there is a lack of high-quality literature on the role of multidisciplinary care for patients with pain and FND. In addition to studies which described the pain characteristics of patients with FND, we identified a small number of papers from 1986 to 2003 which quantified diagnoses of FND and non-dermatomal sensory abnormalities in specialised pain clinics 46–50. A recent study from our own group, which was published after our search was conducted, described FND diagnoses in 17% of 190 patients attending a regional chronic pain service and undiagnosed neurological symptoms in a further 6% 64.…”

“…In addition to studies which described the pain characteristics of patients with FND, we identified a small number of papers from 1986 to 2003 which quantified diagnoses of FND and non-dermatomal sensory abnormalities in specialised pain clinics. [46][47][48][49][50] A recent study from our own group, which was published after our search was conducted, described FND diagnoses in 17% of 190 patients attending a regional chronic pain service and undiagnosed neurological symptoms in a further 6%. 64 In addition, patients with comorbid FND were more likely to have a chronic primary pain disorder, such as fibromyalgia.…”

Neuropathic Pain Syndrome Displayed by Malingerers

“…More than a few neurologists have regarded the clinical profile that many denominate RSD/CRPS I as potentially brain/mind driven (Walters, 1961; Weintraub, 1988; Rodriguez-Moreno et al, 1990, Ochoa and Verdugo, 1995; Landau, 1996). Determination of psychogenic origin should not be based just upon absence of detectable physiological anomaly.…”

Neuropathic Pain Syndrome Displayed by Malingerers

“…More than a few neurologists have regarded the clinical profile that many denominate RSD/ CRPS I as potentially brain/mind driven (Walters, 1961;Weintraub, 1988;Rodriguez-Moreno et al, 1990, Ochoa andVerdugo, 1995;Landau, 1996). Determination of psychogenic origin should not be based just upon absence of detectable physiological anomaly.…”

Pain and functional neurological disorder: a systematic review and meta-analysis

“…Only five studies described FND diagnoses among patients attending specialist chronic pain services. Studies from the 1980s described ‘conversion disorder’ in 1/43 (2%), 108/283 (38%) and 15/35 (43%) patients with chronic pain 46–48. Non-dermatomal sensory abnormalities, which are FND-related sensory disturbances, were also common among patients attending chronic pain services (74/283 (26%) and 100/247 (40%)) 49 50…”

“…More generally, there is a lack of high-quality literature on the role of multidisciplinary care for patients with pain and FND. In addition to studies which described the pain characteristics of patients with FND, we identified a small number of papers from 1986 to 2003 which quantified diagnoses of FND and non-dermatomal sensory abnormalities in specialised pain clinics 46–50. A recent study from our own group, which was published after our search was conducted, described FND diagnoses in 17% of 190 patients attending a regional chronic pain service and undiagnosed neurological symptoms in a further 6% 64.…”

“…In addition to studies which described the pain characteristics of patients with FND, we identified a small number of papers from 1986 to 2003 which quantified diagnoses of FND and non-dermatomal sensory abnormalities in specialised pain clinics. [46][47][48][49][50] A recent study from our own group, which was published after our search was conducted, described FND diagnoses in 17% of 190 patients attending a regional chronic pain service and undiagnosed neurological symptoms in a further 6%. 64 In addition, patients with comorbid FND were more likely to have a chronic primary pain disorder, such as fibromyalgia.…”

Neuropathic Pain Syndrome Displayed by Malingerers

“…More than a few neurologists have regarded the clinical profile that many denominate RSD/CRPS I as potentially brain/mind driven (Walters, 1961; Weintraub, 1988; Rodriguez-Moreno et al, 1990, Ochoa and Verdugo, 1995; Landau, 1996). Determination of psychogenic origin should not be based just upon absence of detectable physiological anomaly.…”

Neuropathic Pain Syndrome Displayed by Malingerers

“…More than a few neurologists have regarded the clinical profile that many denominate RSD/ CRPS I as potentially brain/mind driven (Walters, 1961;Weintraub, 1988;Rodriguez-Moreno et al, 1990, Ochoa andVerdugo, 1995;Landau, 1996). Determination of psychogenic origin should not be based just upon absence of detectable physiological anomaly.…”

Pain and functional neurological disorder: a systematic review and meta-analysis

“…Only five studies described FND diagnoses among patients attending specialist chronic pain services. Studies from the 1980s described ‘conversion disorder’ in 1/43 (2%), 108/283 (38%) and 15/35 (43%) patients with chronic pain 46–48. Non-dermatomal sensory abnormalities, which are FND-related sensory disturbances, were also common among patients attending chronic pain services (74/283 (26%) and 100/247 (40%)) 49 50…”

“…More generally, there is a lack of high-quality literature on the role of multidisciplinary care for patients with pain and FND. In addition to studies which described the pain characteristics of patients with FND, we identified a small number of papers from 1986 to 2003 which quantified diagnoses of FND and non-dermatomal sensory abnormalities in specialised pain clinics 46–50. A recent study from our own group, which was published after our search was conducted, described FND diagnoses in 17% of 190 patients attending a regional chronic pain service and undiagnosed neurological symptoms in a further 6% 64.…”

“…In addition to studies which described the pain characteristics of patients with FND, we identified a small number of papers from 1986 to 2003 which quantified diagnoses of FND and non-dermatomal sensory abnormalities in specialised pain clinics. [46][47][48][49][50] A recent study from our own group, which was published after our search was conducted, described FND diagnoses in 17% of 190 patients attending a regional chronic pain service and undiagnosed neurological symptoms in a further 6%. 64 In addition, patients with comorbid FND were more likely to have a chronic primary pain disorder, such as fibromyalgia.…”

Neuropathic Pain Syndrome Displayed by Malingerers

“…More than a few neurologists have regarded the clinical profile that many denominate RSD/CRPS I as potentially brain/mind driven (Walters, 1961; Weintraub, 1988; Rodriguez-Moreno et al, 1990, Ochoa and Verdugo, 1995; Landau, 1996). Determination of psychogenic origin should not be based just upon absence of detectable physiological anomaly.…”

Neuropathic Pain Syndrome Displayed by Malingerers

“…More than a few neurologists have regarded the clinical profile that many denominate RSD/ CRPS I as potentially brain/mind driven (Walters, 1961;Weintraub, 1988;Rodriguez-Moreno et al, 1990, Ochoa andVerdugo, 1995;Landau, 1996). Determination of psychogenic origin should not be based just upon absence of detectable physiological anomaly.…”