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Primary and widespread chronic pain

Pain presentation with nociplastic features

What it is

Features suggesting altered pain processing when tissue or nerve damage does not fully explain the presentation. This describes a clinical mechanism, not a label based on pain intensity alone.

Typical clinical symptoms

  • Widespread pain or pain that changes location
  • Sensitivity to touch, pressure or multiple stimuli
  • Symptoms influenced by sleep, fatigue, stress and load

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Scientific literature

External publications selected for this topic. Their scope may cover a specific condition, population or intervention within this topic; they do not constitute an individual treatment plan.

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Persistent Pain

When is medical reassessment needed?

New or progressive pain with fever, unexplained weight loss, a history of cancer, fracture risk after trauma, neurological weakness, saddle numbness, bladder or bowel change, or loss of balance requires prompt or emergency assessment according to the symptoms.

Descriptions are for orientation. Diagnosis follows history, clinical examination and, only when indicated, imaging or laboratory tests.

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PHYSIOTHERAPY

Clinical cases

Assessment, treatment and follow-up from individual rehabilitation cases.

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