An overview of pain in Parkinson's disease
Pain is a common non-motor symptom of Parkinson's disease (PD) and the prevalence of pain among PD patients varies because of the disease stage, co-morbidities, and evaluating tools. Risk factors for pain in PD include an early age of onset, long disease duration, motor complications, concomita...
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doaj-847cea6652a643d0b6dc0c7490c956f12020-11-25T03:20:14ZengElsevierClinical Parkinsonism & Related Disorders2590-11252020-01-01218An overview of pain in Parkinson's diseaseYi-Cheng Tai0Chin-Hsien Lin1Department of Neurology, E-DA Hospital, Kaohsiung, TaiwanDepartment of Neurology, National Taiwan University, College of Medicine, Taipei, Taiwan; Corresponding author at: No. 7, Chung-Shan South Road, Department of Neurology, National Taiwan University Hospital, Taipei 100, Taiwan.Pain is a common non-motor symptom of Parkinson's disease (PD) and the prevalence of pain among PD patients varies because of the disease stage, co-morbidities, and evaluating tools. Risk factors for pain in PD include an early age of onset, long disease duration, motor complications, concomitant depressive symptoms, female gender, and associated medical conditions. In patients with PD, pain can be classified as musculoskeletal pain, chronic body pain (central or visceral), fluctuation-related pain, nocturnal pain, orofacial pain, pain with discolouration/oedema/swelling, and radicular/neuropathic pain; musculoskeletal pain as the most common type. Potential underlying mechanisms include a disruption of peripheral nociception and alterations in central pain threshold/processing. Genetic polymorphisms in genes that confer pain susceptibility might also play a role in the occurrence of pain in PD. In advanced stage of patients with PD, polyneuropathy could occur in patients using high dosage of levodopa. Pain often correlates to other non-motor symptoms of PD, including depression, sleep, and autonomic symptoms. Dopaminergic drugs, non-dopaminergic medications, botulinum toxin, deep brain stimulation, and physiotherapy have shown some benefits for certain types of PD-related pain. An increased awareness of pain as a common non-motor symptom of PD provides further insights into sensory system dysregulation in this disease. In this review, we aim to summarizes the clinical features of pain in patients with PD and emphasize the latest evidence of pain related to levodopa treatment.http://www.sciencedirect.com/science/article/pii/S2590112519300301PainParkinson's diseaseReview |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yi-Cheng Tai Chin-Hsien Lin |
spellingShingle |
Yi-Cheng Tai Chin-Hsien Lin An overview of pain in Parkinson's disease Clinical Parkinsonism & Related Disorders Pain Parkinson's disease Review |
author_facet |
Yi-Cheng Tai Chin-Hsien Lin |
author_sort |
Yi-Cheng Tai |
title |
An overview of pain in Parkinson's disease |
title_short |
An overview of pain in Parkinson's disease |
title_full |
An overview of pain in Parkinson's disease |
title_fullStr |
An overview of pain in Parkinson's disease |
title_full_unstemmed |
An overview of pain in Parkinson's disease |
title_sort |
overview of pain in parkinson's disease |
publisher |
Elsevier |
series |
Clinical Parkinsonism & Related Disorders |
issn |
2590-1125 |
publishDate |
2020-01-01 |
description |
Pain is a common non-motor symptom of Parkinson's disease (PD) and the prevalence of pain among PD patients varies because of the disease stage, co-morbidities, and evaluating tools. Risk factors for pain in PD include an early age of onset, long disease duration, motor complications, concomitant depressive symptoms, female gender, and associated medical conditions. In patients with PD, pain can be classified as musculoskeletal pain, chronic body pain (central or visceral), fluctuation-related pain, nocturnal pain, orofacial pain, pain with discolouration/oedema/swelling, and radicular/neuropathic pain; musculoskeletal pain as the most common type. Potential underlying mechanisms include a disruption of peripheral nociception and alterations in central pain threshold/processing. Genetic polymorphisms in genes that confer pain susceptibility might also play a role in the occurrence of pain in PD. In advanced stage of patients with PD, polyneuropathy could occur in patients using high dosage of levodopa. Pain often correlates to other non-motor symptoms of PD, including depression, sleep, and autonomic symptoms. Dopaminergic drugs, non-dopaminergic medications, botulinum toxin, deep brain stimulation, and physiotherapy have shown some benefits for certain types of PD-related pain. An increased awareness of pain as a common non-motor symptom of PD provides further insights into sensory system dysregulation in this disease. In this review, we aim to summarizes the clinical features of pain in patients with PD and emphasize the latest evidence of pain related to levodopa treatment. |
topic |
Pain Parkinson's disease Review |
url |
http://www.sciencedirect.com/science/article/pii/S2590112519300301 |
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