RT Book, Section
A1 Glick, Ronald M.
A1 Marcus, Dawn A.
A2 South-Paul, Jeannette E.
A2 Matheny, Samuel C.
A2 Lewis, Evelyn L.
SR Print(0)
ID 1106852415
T1 Chronic Pain Management
T2 CURRENT Diagnosis & Treatment: Family Medicine, 4e
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 9780071827454
LK accessmedicine.mhmedical.com/content.aspx?aid=1106852415
RD 2024/04/20
AB Pain  is  defined  by  the  International  Association  for  the  Study  of  Pain  as  “an  unpleasant  sensory  or  emotional  experience  associated  with  actual  or  potential  tissue  damage  or  described  in  terms  of  such  damage.”  This  definition  emphasizes  that  the  pain  experience  is  multidimensional  and  may  include  sensory,  cognitive,  and  emotional  components.  Additionally,  the  latter  part  of  the  definition  allows  for  the  possibility,  as  in  chronic  pain  states,  that  the  overt  tissue  damage  may  no  longer  be  present.  Pain  persisting  for  >3–6  months  is  defined  as  chronic  pain.  Pain  persisting  for  3  months,  however,  is  unlikely  to  resolve  spontaneously  and  may  continue  to  be  reported  by  patients  after  12  months.  In  addition,  many  of  the  secondary  problems  associated  with  chronic  pain,  such  as  deconditioning,  depression,  sleep  disturbance,  and  disability,  begin  within  the  first  few  months  of  the  onset  of  symptoms  of  pain.  Studies  indicate  that  early  patient  identification  and  treatment  are  essential  to  reduce  pain  chronicity  and  prevent  further  disability.