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Chronic pain 

Chronic pain
Chapter:
Chronic pain
Author(s):

Manoj Sivan

, Margaret Phillips

, Ian Baguley

, and Melissa Nott

DOI:
10.1093/med/9780198785477.003.0011
Page of

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date: 11 July 2020

This chapter defines the difference between acute and chronic pain, as well as the epidemiology of chronic pain (including why prevalence rates vary widely in the literature). Nociceptive pain and neurogenic pain are both defined, alongside a summary of the mechanisms of common pain syndromes. Examination of the patient with pain is described, including ways of taking a history in those who are unable to give a complete or coherent account. Measurement of pain, management strategies, and pharmaceutical interventions are all covered, and a defence of multidisciplinary pain management programmes is included. Finally, specific chronic pain conditions are defined, and recommendations for management are highlighted.

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