Treatment of ADPKD with Chronic Flank, Abdominal, or Back Pain
This protocol addresses the management of kidney-related pain in patients with autosomal dominant polycystic kidney disease (ADPKD) when that pain has persisted for longer than three months.
Clinical Scenario
Chronic kidney pain in ADPKD is characterised by flank, abdominal, or back pain attributable to the kidneys that has been present for more than 3 months. This persistent pain warrants a structured, stepwise management approach.
Treatment Goal
Adequate relief of chronic kidney pain.
Initial Treatment Approach
The recommended starting point involves nonpharmacologic, noninvasive interventions — the full protocol specifies which approaches and under what conditions to advance further.
Complete regimen, sequencing, and escalation criteria available via the structured protocol →
References
DOI: 10.1016/j.kint.2024.07.010
- Chronic kidney pain in ADPKD is defined as flank, abdominal, or back pain that is thought to be related to the kidneys and lasts longer than 3 months.
- Stepwise pharmacologic treatment for chronic kidney pain in people with ADPKD should be implemented when nonpharmacologic, noninvasive interventions do not adequately relieve pain.
- Nonpharmacologic, noninvasive interventions generally should be considered as the initial treatment of chronic kidney pain in people with ADPKD.
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