Schmerzen bei chronischen nicht entzündlichen und entzündlichen Erkrankungen

Laube, Wolfgang

doi:10.1007/978-3-662-63846-0_2

Wolfgang Laube⁴

2058 Accesses

Zusammenfassung

Es gibt keinen diagnostischen „Goldstandard“ zur Schmerzklassifizierung und damit zur Differenzierung von Schmerzkrankheiten. Zu einer zentralen Sensibilisierung kommt es bei der Osteoarthritis und der rheumatischen Arthritis. Sie bestimmt die Schwere der Symptome. Bei der Fibromyalgie ist sie das Charakteristikum, und periphere Veränderungen prägen das Schmerzbild und die Ermüdbarkeit und steigern die Intensität der Sensibilisierung. Der Grad der Sensibilisierung, diagnostiziert anhand des psychopathologischen Profils, könnte in Zukunft zum Differenzierungsmerkmal zwischen den Schmerzerkrankungen werden.

Insgesamt kann die Schlussfolgerung gezogen werden, dass die therapeutische Schmerzhemmung nach dem Prinzip „Schmerz hemmt Schmerz“ bei allen degenerativen, rheumatischen und primär zentralen Erkrankungen wie der FM nicht nur keine Kontraindikation darstellt, sondern indiziert ist, um über die Schmerzhemmung eine ausreichende Belastbarkeit für aktive Interventionen erreichen zu können.

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Department für Orthopädie, Unfall- und Wiederherstellungschirurgie, Martin-Luther-Universität Halle-Wittenberg, Halle-Wittenberg, Deutschland
Wolfgang Laube

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Laube, W. (2022). Schmerzen bei chronischen nicht entzündlichen und entzündlichen Erkrankungen. In: Schmerztherapie ohne Medikamente. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-63846-0_2

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