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CHRONIC PAIN

Chronic pain has several different meanings in medicine. Traditionally, the distinction between acute and chronic pain has relied upon an arbitrary interval of time from onset; the two most commonly used markers being 3 months and 6 months since the initiation of pain, though some theorists and researchers have placed the transition from acute to chronic pain at 12 months.

Others apply acute to pain that lasts less than 30 days, chronic to pain of more than six months duration, and subacute to pain that lasts from one to six months. A popular alternative definition of chronic pain, involving no arbitrarily fixed durations is "pain that extends beyond the expected period of healing."

Complete and sustained remission of many neuropathies and most idiopathic chronic pain (pain that extends beyond the expected period of healing, or chronic pain that has no known underlying pathology) is rarely achieved, but much can be done to reduce suffering and improve quality of life. Pain management (also called pain medicine) is that branch of medicine employing an interdisciplinary approach to the relief of pain and improvement in the quality of life of those living with pain. The typical pain management team includes medical practitioners, clinical psychologists, physiotherapists, occupational therapists, and nurse practitioners. Acute pain usually resolves with the efforts of one practitioner; however, the management of chronic pain frequently requires the coordinated efforts of the treatment team.

SYMPTOMS OF CHRONIC PAIN


Pain may be a response to injury or any number of disease states that provoke nociception. Advances in imaging studies and electrophysiological studies allow us to gain a deeper insight into the characteristics and properties associated with the phenomenon of chronic pain. Some chronic pain may be psychosomatic. Indicators include diffuse, difficult to describe symptoms, especially if they moved around the body and have no obvious verifiable physical cause. Having unexplained pain in three or more body parts is especially indicative.

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CHRONIC PAIN PROCEDURES

Pain Management

CHRONIC PAIN SPECIALISTS

Dr. Henry J. Blum
Dr. William J. Bryan
Dr. Terry A. Clyburn
Dr. Dan Eidman
Dr. William C. McGarvey
Dr. Thomas J. Parr
Dr. Alan J. Rechter
Dr. Leland A. Winston
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