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Pain Treatment for patients with osteoarthritis and central sensitization

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Pain Treatment for patients with osteoarthritis and central sensitization

dc.contributor.author	Lluch Girbés, Enrique
dc.contributor.author	Nijs, Jo
dc.contributor.author	Torres Cueco, Rafael
dc.contributor.author	Lopez Cubas, Carlos
dc.date.accessioned	2014-10-31T08:58:28Z
dc.date.available	2014-10-31T08:58:28Z
dc.date.issued	2013
dc.identifier.citation	Lluch Girbes, Enrique Nijs, Jo Torres Cueco, Rafael Lopez Cubas, Carlos 2013 Pain Treatment for patients with osteoarthritis and central sensitization Physical Therapy 93 6 842 851
dc.identifier.uri	http://hdl.handle.net/10550/39517
dc.description.abstract	Osteoarthritis is one of the most frequent, disabling, and costly pathologies of modern society. Among the main aims of osteoarthritis management are pain control and functional ability improvement. The exact cause of osteoarthritis pain remains unclear. In addition to the pathological changes in articular structures, changes in central pain processing or central sensitization appear to be involved in osteoarthritis pain. The latter calls for a broader approach to the management of patients with osteoarthritis. Yet, the scientiﬁc literature offers scant information addressing the treatment of central sensitization, speciﬁcally in patients with osteoarthritis. Inter-ventions such as cognitive-behavioral therapy and neuroscience education potentially target cognitive-emotional sensitization (and descending facilitation), and centrally acting drugs and exercise therapy can improve endogenous analgesia (descending inhibition) in patients with osteoarthritis. Future studies should assess these new treatment avenues.
dc.relation.ispartof	Physical Therapy, 2013, vol. 93, num. 6, p. 842-851
dc.subject	Medicina esportiva
dc.subject	Fisioteràpia
dc.subject	Artritis
dc.subject	Ossos Malalties
dc.title	Pain Treatment for patients with osteoarthritis and central sensitization
dc.type	journal article	es_ES
dc.date.updated	2014-10-31T08:58:28Z
dc.identifier.doi	10.2522/ptj.20120253
dc.identifier.idgrec	097599
dc.rights.accessRights	open access	es_ES