SPECIAL ARTICLE  THE ITALIAN CONSENSUS CONFERENCE ON PAIN IN NEUROREHABILITATION - PART II Free access

European Journal of Physical and Rehabilitation Medicine 2016 December;52(6):867-80

Copyright © 2016 EDIZIONI MINERVA MEDICA

language: English

Headache, low back pain, other nociceptive and mixed pain conditions in neurorehabilitation. Evidence and recommendations from the Italian Consensus Conference on Pain in Neurorehabilitation

Alessandro PICELLI ¹, Maria Gabriella 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, 12}, Vittorio SCHWEIGER ¹³, Cristina TASSORELLI ^{14, 15}, Stefano TAMBURIN ¹⁶ ✉

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, Città della Salute e della Scienza di Torino, Turin, Italy; ⁶ Pain Therapy Hub Center of Regione Lazio, Sapienza University, Policlinico Umberto I, 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 University of Pavia, IRCCS Policlinico San Matteo, Pavia, Italy; ¹¹ Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy; ¹² IRCCS Don Gnocchi ONLUS, Italian Scientific Spine Institute, Milan, Italy; ¹³ Department of Surgery, University of Verona, Verona, Italy; ¹⁴ C. Mondino National Neurological Institute, Pavia, Italy; ¹⁵ Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy; ¹⁶ 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.

KEY WORDS: Arthralgia - Facial pain - Failed back surgery syndrome - Fibromyalgia - Headache - Low back pain