Chronic secondary musculoskeletal pain due to disease of the nervous system

Definition

Chronic secondary musculoskeletal pain due to diseases of the nervous system is chronic pain localized in joint(s), bone(s), tendon(s) or muscle(s) that is related to peripheral or central neurological disorders classified elsewhere. It includes pain due to altered motor function and to altered sensory function. Altered biomechanical function due to the neurological disease is responsible for the activation of nociceptors in musculoskeletal tissue. The pain may be spontaneous or movement-induced. Chronic secondary musculoskeletal pain associated with a disease of the nervous system includes upper and lower motor neuron disease, extrapyramidal disorders, and chronic pain attributable to altered sensory (including proprioceptive) function. Diagnostic Criteria: 13. Diagnostic Criteria (Necessary and sufficient criteria) Conditions A to D are fulfilled: A. Chronic pain (persistent or recurrent for longer than 3 months) in joint(s), bone(s), muscle(s) or tendon(s) is present. The pain may be spontaneous or movement induced. B. Clinical features of a neurological disease (classified elsewhere) are present. C. Altered biomechanical function (demonstrated by appropriate clinical examination or appropriate tests) due to the neurological problem is responsible for the activation of nociceptors in musculoskeletal tissues. D. The pain is not better accounted for by another diagnosis of chronic pain.

Inclusions

• Chronic secondary musculoskeletal pain associated with Parkinson’s disease
• Chronic secondary musculoskeletal pain associated with multiple sclerosis
• Chronic secondary musculoskeletal pain associated with peripheral neurologic disease

Index Terms