<p>Postoperative pain is often primarily considered nociceptive, although a&#xa0;relevant proportion involves neuropathic components that frequently remain unrecognized. This article outlines pathophysiology, epidemiology, diagnosis, and treatment. Peripheral and central sensitization, nerve injury, and biopsychosocial factors play a&#xa0;key role. Total knee arthroplasty serves as a&#xa0;clinical example to illustrate relevance. Structured assessment and a&#xa0;multimodal treatment approach are essential to prevent chronicity and improve functional outcomes.</p>

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Neuropathische Schmerzen im postoperativen Setting

  • Markus Kopfauf,
  • Michael Wölkhart

摘要

Postoperative pain is often primarily considered nociceptive, although a relevant proportion involves neuropathic components that frequently remain unrecognized. This article outlines pathophysiology, epidemiology, diagnosis, and treatment. Peripheral and central sensitization, nerve injury, and biopsychosocial factors play a key role. Total knee arthroplasty serves as a clinical example to illustrate relevance. Structured assessment and a multimodal treatment approach are essential to prevent chronicity and improve functional outcomes.