Show Summary Details
Page of

Chronic pain after cardiothoracic surgery 

Chronic pain after cardiothoracic surgery
Chapter:
Chronic pain after cardiothoracic surgery
Author(s):

Lesley Colvin

DOI:
10.1093/med/9780199653478.003.0039
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2016. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 23 October 2019

Chronic pain postsurgical pain (CPSP).after cardiac and thoracic surgery can be a significant problem, but the underlying aetiology is not fully understood. Changes in both peripheral and central nervous system can occur, with subsequent development of neuropathic pain.Identification of modifiable risk factors allows targeting in an attempt to reduce the likelihood of CPSP developing after cardiothoracic procedures. There are a number of treatment options for established CPSP after cardiothoracic surgery, although success may be limited. Pharmacological strategies include the use of specific antineuropathic agents with some evidence for the efficacy of combination therapies. If there is a well-defined area of postsurgical scar pain, then this may be very amenable to topical therapies. Simple therapies such as transcutaneous electrical nerve stimulation (TENS) can be effective and multidisciplinary pain management is appropriate.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.