{"title":"[“混合性疼痛”:当前初级保健的概念和方法]。","authors":"A. Alcántara Montero","doi":"10.1016/j.semerg.2024.102447","DOIUrl":null,"url":null,"abstract":"<div><div>Despite being referenced in the literature for over a decade, the term “mixed pain” has hardly been formally defined. The strict binary classification of pain as purely neuropathic or nociceptive left a good proportion of patients unclassified; even the introduction of the term “nociplastic pain” in the International Association for the Study of Pain terminology leaves out patients who clinically present with a substantial overlap of nociceptive, neuropathic, and nociplastic symptoms. For these patients the term “mixed pain” is becoming increasingly recognized and accepted by the scientific community. This narrative review summarizes the highlights of mixed pain and emphasizes the importance of recognizing this type of pain in clinical practice.</div></div>","PeriodicalId":53212,"journal":{"name":"Medicina de Familia-SEMERGEN","volume":"51 6","pages":"Article 102447"},"PeriodicalIF":0.9000,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"«Dolor mixto»: conceptualización actual y aproximación para Atención Primaria\",\"authors\":\"A. Alcántara Montero\",\"doi\":\"10.1016/j.semerg.2024.102447\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>Despite being referenced in the literature for over a decade, the term “mixed pain” has hardly been formally defined. The strict binary classification of pain as purely neuropathic or nociceptive left a good proportion of patients unclassified; even the introduction of the term “nociplastic pain” in the International Association for the Study of Pain terminology leaves out patients who clinically present with a substantial overlap of nociceptive, neuropathic, and nociplastic symptoms. For these patients the term “mixed pain” is becoming increasingly recognized and accepted by the scientific community. This narrative review summarizes the highlights of mixed pain and emphasizes the importance of recognizing this type of pain in clinical practice.</div></div>\",\"PeriodicalId\":53212,\"journal\":{\"name\":\"Medicina de Familia-SEMERGEN\",\"volume\":\"51 6\",\"pages\":\"Article 102447\"},\"PeriodicalIF\":0.9000,\"publicationDate\":\"2024-12-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Medicina de Familia-SEMERGEN\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1138359324002570\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"PRIMARY HEALTH CARE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medicina de Familia-SEMERGEN","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1138359324002570","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PRIMARY HEALTH CARE","Score":null,"Total":0}
«Dolor mixto»: conceptualización actual y aproximación para Atención Primaria
Despite being referenced in the literature for over a decade, the term “mixed pain” has hardly been formally defined. The strict binary classification of pain as purely neuropathic or nociceptive left a good proportion of patients unclassified; even the introduction of the term “nociplastic pain” in the International Association for the Study of Pain terminology leaves out patients who clinically present with a substantial overlap of nociceptive, neuropathic, and nociplastic symptoms. For these patients the term “mixed pain” is becoming increasingly recognized and accepted by the scientific community. This narrative review summarizes the highlights of mixed pain and emphasizes the importance of recognizing this type of pain in clinical practice.