Case Report
Volume: 2 | Issue: 3 | Published: Jan 01, 1970 | Pages: 91 - 94 | DOI: 10.24911/ejmcr/173-1532985971
Three case reports of chronic pain with neuropathic component - the importance of individualized therapy
Authors:
Filipa Ferreira Pereira
, Sergio Azevedo
, Helena Magalhaes
, Claudia Vieira
, Deolinda Pereira
, Maria Fragoso
Article Info
Authors
Sergio Azevedo
Rua Dr. Antonio Bernardino de Almeida 4200-072 Porto, Portugal
Helena Magalhaes
Rua Dr. Antonio Bernardino de Almeida 4200-072 Porto, Portugal
Claudia Vieira
Rua Dr. Antonio Bernardino de Almeida 4200-072 Porto, Portugal
Deolinda Pereira
Rua Dr. Antonio Bernardino de Almeida 4200-072 Porto, Portugal
Maria Fragoso
Rua Dr. Antonio Bernardino de Almeida 4200-072 Porto, Portugal
Publication History
Received: August 04, 2018
Accepted: August 31, 2018
Published: January 01, 1970
Abstract
Background: Pain is the most common symptom present at any stage of life. The pain can be divided into acute or chronic considering the duration of symptoms. Chronic pain approach is complex and it is a clinical challenge. Two main mechanisms are traditionally described: pain nociceptive (caused by ongoing tissue damage, somatic, or visceral) or neuropathic (damage or dysfunction in the nervous system). For the treatment of chronic moderate-severe pain, opioids are the standard treatment but the undesirable side effects cause a high discontinuation rate. Tapentadol was developed to improve the therapeutic range of opioids by adding two complementary mechanisms of action which seem to contribute to the reduction of side effects. Case Presentation: The authors describe three cases of neuropathic chronic pain. One case describes neuropathic pain caused by degenerative changes and osteoporotic fracture, the second case was a woman with an important renal impairment, who complained of generalized arthralgia (under cancer treatment), and a third case of a man presented with diminished muscle strength in the lower right limb, most probably due to chemotherapy-induced peripheral neuropathy. Conclusion: The management of chronic pain requires a multimodal approach, that is part of the individual as a whole, and a multidisciplinary approach is needed to relieve chronic pain with minimal side effects.
Keywords: Pain, neuropathic pain, cancer, analgesics, opioid, case report, green
Pubmed Style
Filipa Ferreira Pereira, Sergio Azevedo, Helena Magalhaes, Claudia Vieira, Deolinda Pereira, Maria Fragoso. Three case reports of chronic pain with neuropathic component - the importance of individualized therapy. EJMCR. 1970; 01 (January 1970): 91-94. doi:10.24911/ejmcr/173-1532985971
Web Style
Filipa Ferreira Pereira, Sergio Azevedo, Helena Magalhaes, Claudia Vieira, Deolinda Pereira, Maria Fragoso. Three case reports of chronic pain with neuropathic component - the importance of individualized therapy. https://ejmcr.com/articles/1510 [Access: December 04, 2024]. doi:10.24911/ejmcr/173-1532985971
AMA (American Medical Association) Style
Filipa Ferreira Pereira, Sergio Azevedo, Helena Magalhaes, Claudia Vieira, Deolinda Pereira, Maria Fragoso. Three case reports of chronic pain with neuropathic component - the importance of individualized therapy. EJMCR. 1970; 01 (January 1970): 91-94. doi:10.24911/ejmcr/173-1532985971
Vancouver/ICMJE Style
Filipa Ferreira Pereira, Sergio Azevedo, Helena Magalhaes, Claudia Vieira, Deolinda Pereira, Maria Fragoso. Three case reports of chronic pain with neuropathic component - the importance of individualized therapy. EJMCR. (1970), [cited December 04, 2024]; 01 (January 1970): 91-94. doi:10.24911/ejmcr/173-1532985971
Harvard Style
Filipa Ferreira Pereira, Sergio Azevedo, Helena Magalhaes, Claudia Vieira, Deolinda Pereira, Maria Fragoso (1970) Three case reports of chronic pain with neuropathic component - the importance of individualized therapy. EJMCR, 01 (January 1970): 91-94. doi:10.24911/ejmcr/173-1532985971
Chicago Style
Filipa Ferreira Pereira, Sergio Azevedo, Helena Magalhaes, Claudia Vieira, Deolinda Pereira, Maria Fragoso. "Three case reports of chronic pain with neuropathic component - the importance of individualized therapy." 01 (1970), 91-94. doi:10.24911/ejmcr/173-1532985971
MLA (The Modern Language Association) Style
Filipa Ferreira Pereira, Sergio Azevedo, Helena Magalhaes, Claudia Vieira, Deolinda Pereira, Maria Fragoso. "Three case reports of chronic pain with neuropathic component - the importance of individualized therapy." 01.January 1970 (1970), 91-94. Print. doi:10.24911/ejmcr/173-1532985971
APA (American Psychological Association) Style
Filipa Ferreira Pereira, Sergio Azevedo, Helena Magalhaes, Claudia Vieira, Deolinda Pereira, Maria Fragoso (1970) Three case reports of chronic pain with neuropathic component - the importance of individualized therapy. , 01 (January 1970), 91-94. doi:10.24911/ejmcr/173-1532985971