Central Sensitization Inventory

The Central Sensitization Inventory (CSI) was developed to assess the overlapping health-related symptom dimensions of CS/CSSs. Part A has 25 items scored from 0 to 4. Total scores range from 0-100. Part B (which is not scored) asks if one has previously been diagnosed with one or more specific disorders,…

Guidelines for the Classification of Central Sensitization Pain

On May 30, 2016, Posted by , In Uncategorized, By , , With No Comments

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Q: How do you clinically determine if a chronic pain patient has centralized pain? Do you record this in the patient’s chart?

On May 25, 2016, Posted by , In Uncategorized, By , With No Comments

The question prejudices the answer by implying that centralization is an active process by the patient. Centralization is a neuro-inflammatory event with a genetic (possibly epigenetic or microbiome-related) predisposition and a peripheral trigger.  It is not under the behavioral control of patients. Unfortunately, no standardized, validated set of diagnostic criteria…