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Review
. 2024 Jun;38(3):183-189.
doi: 10.1007/s00482-023-00761-2. Epub 2023 Oct 20.

[Interdisciplinary multimodal pain therapy in postviral syndromes and ME/CFS : Features, pitfalls and model concept]

[Article in German]
Benjamin Luchting  1 , Uta Behrends  2 , Bianca Eigner  3 , Silvia Stojanov  2 , Cordula Warlitz  2 , Matthias Haegele  2 , Eva Neuwirth  3 , Lorenz Mihatsch  2 , Hans Peter Richter  3   4
Affiliations
Review

[Interdisciplinary multimodal pain therapy in postviral syndromes and ME/CFS : Features, pitfalls and model concept]

[Article in German]
Benjamin Luchting et al. Schmerz. 2024 Jun.

Abstract
in English, German

Background: Multimodal pain therapy usually take place in the context of group therapy lasting several weeks and is based on a generally activating approach. Due to the specificity of stress intolerance with postexertional malaise (PEM) in patients with postviral syndromes, physical as well as psychological overload must be urgently avoided in these cases; however, these aspects can only be insufficiently considered in current medical pain therapy concepts.

Methods: Summary of the current literature and presentation of clinical characteristics as well as presentation of a model project for a multimodal pain therapy in postviral syndromes with PEM.

Model concept: The presented model project describes a day clinic treatment setting for interdisciplinary multimodal pain therapy adapted to the individual resilience with minimization of the risk of strain-induced deterioration of the condition.

Zusammenfassung: HINTERGRUND: Multimodale Schmerztherapien erfolgen üblicherweise im Rahmen von mehrwöchigen Gruppentherapien und basieren auf einem generell aktivierenden Ansatz. Durch die Besonderheit einer Belastungsintoleranz mit postexertioneller Malaise (PEM) bei Patient:innen mit postviralen Syndromen muss in diesen Fällen eine körperliche sowie psychische Überlastung dringend vermieden werden. Diese Aspekte können in gängigen schmerzmedizinischen Therapiekonzepten jedoch nur unzureichend berücksichtigt werden.

Methodik: Zusammenfassung der aktuellen Literatur und Darstellung klinischer Besonderheiten sowie Vorstellung eines therapeutischen Modellprojekts für eine interdisziplinäre multimodale Schmerztherapie bei postviralen Syndromen mit PEM.

Modellkonzept: Das vorgestellte Modellkonzept beschreibt ein der individuellen Belastbarkeit angepasstes tagesklinisches Behandlungssetting für die multimodale Schmerztherapie mit Minimierung des Risikos einer belastungsinduzierten Zustandsverschlechterung.

Keywords: Myalgic encephalomyelitis/chronic fatigue syndrome; Pain; Post-COVID/Long-COVID; Stress intolerance; Therapy concept.

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References

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