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Journal Article Review Ppublish 8 citations

PubMed: 32507420 DOI: 10.1016/j.ctim.2020.102394

Integrative approaches to treating pain in sickle cell disease: Pre-clinical and clinical evidence.

Complement Ther Med 51:102394

Authors: Varun Sagi, Donovan A Argueta, Stacy Kiven, Kalpna Gupta

Affiliations

  • Division of Hematology, Oncology and Transplantation, Department of Medicine, University of Minnesota, Minneapolis, MN, United States.
  • Hematology/Oncology, Department of Medicine, University of California, Irvine and Southern California Institute for Research and Education, VA Medical Center, Long Beach, CA, United States.
  • Division of Hematology, Oncology and Transplantation, Department of Medicine, University of Minnesota, Minneapolis, MN, United States; Hematology/Oncology, Department of Medicine, University of California, Irvine and Southern California Institute for Research and Education, VA Medical Center, Long Beach, CA, United States.

Abstract

Sickle cell disease (SCD) is a genetic disorder characterized by hemolysis, end-organ damage, inflammation, and pain. Recurrent and unpredictable episodes of acute pain due to vaso-occlusive crises are a unique feature of SCD. Many patients also develop lifelong chronic pain. Opioids are the primary method of pain treatment in SCD; however, continued use is associated with several adverse effects. Integrative approaches to treating pain in SCD are increasingly being explored to prevent the side effects associated with opioids. In this review, we highlight the mechanisms of pain in SCD and describe mechanism-based integrative approaches for treating pain.

MeSH

Cells, Anemia, Sickle Cell, Pain, Complementary Therapies

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