Content available only in Spanish.
Carla Albert-Minguell 1, Marco Palumbo 1, Ma. José Groizard-Botella 1, Xavier Vilà-Justribó 1, Adriana M. Buriticá-Aguirre 2
1 Servicio de Anestesiología, Reanimación y Terapéutica del dolor, Hospital Universitari Arnau de Vilanova, Lleida, Barcelona, España; 2 Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital Universitari Arnau de Vilanova, Lleida, España
*Correspondence: Carla Albert-Minguell. Email: albertcarla8@gmail.com
The interdisciplinary approach to central sensitization in some patients with chronic low back pain could help prevent unnecessary evaluations and treatments. We present the case of a 56-year-old female with chronic pain following two lumbar arthrodesis surgeries, with a history of fibromyalgia, migraine, and anxiety disorder, among others. She exhibited severe pain and functional limitation, with imaging findings not correlating with symptoms. A complete evaluation identified central sensitization, prompting hospitalization for comprehensive management. A multimodal approach was initiated, including subanesthetic ketamine infusion and bilateral lumbar erector spinae plane catheter analgesia, combined with intensive rehabilitation and mental health support. The intervention facilitated progressive recovery of mobility and autonomy. This case highlights the importance of an interdisciplinary approach in managing central sensitizationrelated pain, optimizing treatment strategies, and improving patient outcomes.
