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Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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Alessandro PICELLI 1, Maria G. BUZZI 2, Carlo CISARI 3, Marialuisa GANDOLFI 1, Daniele PORRU 4, Silvia BONADIMAN 1, Annalisa BRUGNERA 1, Roberto CARONE 5, Rosanna CERBO 6, Ubaldo DEL CARRO 7, Raffaele GIMIGLIANO 8, Marco INVERNIZZI 3, Danilo MIOTTI 9, Rossella NAPPI 10, Stefano NEGRINI 11, Vittorio SCHWEIGER 12, Cristina TASSORELLI 13, 14, Stefano TAMBURIN 15, on behalf of the Italian Consensus Conference on Pain in Neurorehabilitation (ICCPN)
1 Neuromotor and Cognitive Rehabilitation Research Center, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy; 2 IRCCS Santa Lucia Foundation, Rome, Italy; 3 Health Sciences Department, University of Piemonte Orientale, Novara, Italy; 4 Urology Section, Policlinico San Matteo Foundation IRCCS, Pavia, Italy; 5 Neurourology Department, City Hospital Health and Science of the City of Turin, Turin, Italy; 6 Pain Therapy Hub Center of Regione Lazio, Policlinico Umberto I, Sapienza University, Rome, Italy; 7 Section of Clinical Neurophysiology and Neurorehabilitation, San Raffaele Hospital, Milan, Italy; 8 Department of Physical and Mental Health, Second University of Naples, Naples, Italy; 9 Palliative Care and Pain Therapy Unit, Salvatore Maugeri Foundation IRCCS, Scientific Institute of Pavia, Pavia, Italy; 10 IRCCS Policlinico San Matteo, University of Pavia, Pavia, Italy; 11 Department of Clinical and Experimental Sciences, University of Brescia, IRCCS Don Gnocchi ONLUS, Italian Scientific Spine Institute, Milan, Italy; 12 Department of Surgery, University of Verona, Verona, Italy; 13 C. Mondino National Neurological Institute, Pavia, Italy; 14 Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy; 15 Neurology Section, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
Pain is a disabling symptom and is often the foremost symptom of conditions for which patients undergo neurorehabilitation. We systematically searched the PubMed and Embase electronic databases for current evidence on the frequency, evolution, predictors, assessment, and pharmacological and non-pharmacological treatment of pain in patients with headache, craniofacial pain, low back pain, failed back surgery syndrome, osteoarticular pain, myofascial pain syndrome, fibromyalgia, and chronic pelvic pain. Despite the heterogeneity of published data, consensus was reached on pain assessment and management of patients with these conditions and on the utility of a multidisciplinary approach to pain therapy that combines the benefits of pharmacological therapy, physiotherapy, neurorehabilitation, and psychotherapy. We of the Italian Consensus Conference on Pain in Neurorehabilitation (ICCPN) suggest a need to conduct randomized controlled trials on the efficacy of pain treatments and their risk-benefit profile for the conditions we have reviewed.