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Chronic Post-surgical Pain 

Chronic Post-surgical Pain
Chapter:
Chronic Post-surgical Pain
Author(s):

Chad M. Brummett

and Srinivas Chiravuri

DOI:
10.1093/med/9780199859436.003.0012
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date: 21 April 2021

Chronic post-surgical pain is a common and frustrating disease with varying incidence based on the surgical procedure. Between 10-50 % of patients report chronic pain and 2-10 % describe it as severe and disabling. Despite different names used clinically, chronic post-surgical pain seems to have neuropathic features as a common major presentation. Female sex, psychological co-morbidities, pain in other locations of body are phenotypic characters associated with chronic pain disorders of central nervous system and are potential predictors of development of chronic post-surgical pain. The treatment requires a careful history and physical examination. A multimodal, multidisciplinary approach is often needed. Treatments include medications, psychotherapy, complementary and alternative therapy, invasive procedures such as diagnostic/prognostic blocks, neuromodulation, neuroablation and surgical revision/resections.

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