{"id":4307,"date":"2023-10-12T23:17:03","date_gmt":"2023-10-12T22:17:03","guid":{"rendered":"https:\/\/psychosomatic-osteopathy.com\/nociplastic-pain-what-to-do\/"},"modified":"2023-10-12T23:17:03","modified_gmt":"2023-10-12T22:17:03","slug":"nociplastic-pain-what-to-do","status":"publish","type":"post","link":"https:\/\/psychosomatic-osteopathy.com\/en\/nociplastic-pain-what-to-do\/","title":{"rendered":"Nociplastic pain \u2013 what to do?"},"content":{"rendered":"<p><span style=\"font-weight: 400\">Nociplastic pain is the semantic term proposed by the international community of pain researchers to describe a third category of pain that differs mechanistically from nociceptive pain, which is caused by ongoing inflammation and tissue damage, and neuropathic pain, which is caused by nerve damage. <\/span><span style=\"font-weight: 400\">The mechanisms underlying this type of pain are not yet fully understood, but increased pain and sensory processing in the CNS and altered pain modulation are thought to play an important role. <\/span><span style=\"font-weight: 400\">Symptoms may include multifocal pain that is more widespread or more intense, or both, than would be expected given the extent of identifiable tissue or nerve damage, as well as other CNS-related symptoms such as fatigue, sleep, memory, and mood problems. <\/span><span style=\"font-weight: 400\">This type of pain may occur in isolation, as is often the case in conditions such as fibromyalgia or tension-type headache, or as part of a mixed pain condition in combination with ongoing nociceptive or neuropathic pain, as can occur in chronic low back pain. <\/span><span style=\"font-weight: 400\">It is important to recognise this type of pain because it responds to different therapies than nociceptive pain, as it responds less well to peripheral therapies such as anti-inflammatory medications and opioids, surgery, or injections.<\/span><span style=\"font-weight: 400\"><\/span><a href=\"https:\/\/psychosomatic-osteopathy.com\/wp-content\/uploads\/2023\/10\/Noziplastischer-Schmerz-\u2013-was-tun.png\"><img alt=\"Ein Diagramm des Gehirns und des R\u00fcckenmarks, das wichtige Strukturen und Bahnen hervorhebt. Diese visuelle Hilfe kann zum Studium oder zur Erkl\u00e4rung der komplexen Anatomie und Funktionen des Zentralnervensystems n\u00fctzlich sein.\" fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter wp-image-2214 size-full\" src=\"https:\/\/psychosomatic-osteopathy.com\/wp-content\/uploads\/2023\/10\/Noziplastischer-Schmerz-\u2013-was-tun.png\" alt=\"\" width=\"304\" height=\"512\" srcset=\"https:\/\/psychosomatic-osteopathy.com\/wp-content\/uploads\/2023\/10\/Noziplastischer-Schmerz-\u2013-was-tun.png 304w, https:\/\/psychosomatic-osteopathy.com\/wp-content\/uploads\/2023\/10\/Noziplastischer-Schmerz-\u2013-was-tun-178x300.png 178w\" sizes=\"(max-width: 304px) 100vw, 304px\" \/><\/a><b>Overarching principles for the treatment of nociplastic pain<\/b><b><\/b><span style=\"font-weight: 400\"><\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400\">A trusting doctor\u2013patient relationship<\/span><\/li>\n<li><span style=\"font-weight: 400\">Psychoeducation (explanations using terms such as &#8220;overstimulated&#8221;, &#8220;sensitised&#8221; or &#8220;excited&#8221; nervous system, explanation of treatment strategies<\/span><span style=\"font-weight: 400\"> and developing <\/span><span style=\"font-weight: 400\">realistic expectations)<\/span><\/li>\n<li><span style=\"font-weight: 400\">Promoting self-management and self-regulation <\/span><\/li>\n<li><span style=\"font-weight: 400\">Promoting healthy lifestyle habits (health-related physical activity, nutrition and weight management, sleep hygiene<\/span><span style=\"font-weight: 400\">, <\/span><span style=\"font-weight: 400\">stress reduction)<\/span><\/li>\n<li><span style=\"font-weight: 400\">Psychological approaches (cognitive behavioural therapy, acceptance-based therapies<\/span><span style=\"font-weight: 400\">, <\/span><span style=\"font-weight: 400\">hypnotherapy or psychodynamic therapies)<\/span><span style=\"font-weight: 400\"><\/span><span style=\"font-weight: 400\">Psychiatric-psychotherapeutic treatment of psychological comorbidities <\/span><span style=\"font-weight: 400\"><\/span><span style=\"font-weight: 400\">Physical therapies, osteopathy (insertion of Liem), chiropractic, acupuncture, massage or<\/span> <span style=\"font-weight: 400\">naturopathy<\/span><\/li>\n<li><span style=\"font-weight: 400\">Pharmacological treatments as a second step (e.g. <\/span><span style=\"font-weight: 400\">c<\/span><span style=\"font-weight: 400\">entrally acting medications (pain modulators), tricyclic antidepressants, serotonin-norepinephrine reuptake inhibitors, gabapentinoids and other membrane stabilisers)<\/span><span style=\"font-weight: 400\"><\/span><span style=\"font-weight: 400\">Simple analgesics and non-steroidal anti-inflammatory drugs have little effect<\/span><span style=\"font-weight: 400\"><\/span><span style=\"font-weight: 400\">Ideally, opioids should be avoided<\/span><\/li>\n<li><span style=\"font-weight: 400\">Neuromodulation <\/span><\/li>\n<li><span style=\"font-weight: 400\">Interdisciplinary care<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;color: #a3a3a3\">Fitzcharles MA, Cohen SP, Clauw DJ, Littlejohn G, Usui C, H\u00e4user W. Nociplastic pain: towards an understanding of prevalent pain conditions. Lancet. 2021 May 29;397(10289):2098-2110.   <\/span><a href=\"https:\/\/pubmed.ncbi.nlm\"><span style=\"font-weight: 400\">https:\/\/pubmed.ncbi.nlm<\/span><\/a><span style=\"font-weight: 400\">.<\/span>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Nociplastic pain is the semantic term proposed by the international community of pain researchers to describe a third category of pain that differs mechanistically from nociceptive pain, which is caused by ongoing inflammation and tissue damage, and neuropathic pain, which is caused by nerve damage.<\/p>\n","protected":false},"author":3,"featured_media":2215,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","_seopress_analysis_target_kw":"","iawp_total_views":0,"footnotes":""},"categories":[106],"tags":[],"themenbereich":[],"class_list":["post-4307","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-osteopathic-research-clinic"],"acf":[],"_links":{"self":[{"href":"https:\/\/psychosomatic-osteopathy.com\/en\/wp-json\/wp\/v2\/posts\/4307","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/psychosomatic-osteopathy.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/psychosomatic-osteopathy.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/psychosomatic-osteopathy.com\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/psychosomatic-osteopathy.com\/en\/wp-json\/wp\/v2\/comments?post=4307"}],"version-history":[{"count":0,"href":"https:\/\/psychosomatic-osteopathy.com\/en\/wp-json\/wp\/v2\/posts\/4307\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/psychosomatic-osteopathy.com\/en\/wp-json\/wp\/v2\/media\/2215"}],"wp:attachment":[{"href":"https:\/\/psychosomatic-osteopathy.com\/en\/wp-json\/wp\/v2\/media?parent=4307"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/psychosomatic-osteopathy.com\/en\/wp-json\/wp\/v2\/categories?post=4307"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/psychosomatic-osteopathy.com\/en\/wp-json\/wp\/v2\/tags?post=4307"},{"taxonomy":"themenbereich","embeddable":true,"href":"https:\/\/psychosomatic-osteopathy.com\/en\/wp-json\/wp\/v2\/themenbereich?post=4307"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}