Chronic Pain Syndrome And Chronic Pain Management And Treatment
- Part I
Suffer From Chronic Pain
Each year tens of millions of Americans suffer from persistent
pain known as chronic pain. Individuals with chronic pain are
less able to function in daily life than those who do not suffer
from chronic pain.
Chronic pain patients suffer from poor sleep quality and
depressed mood rather than pain intensity, duration, or anxiety.
Clinical Implications Chronic pain patients suffer from poorer
quality of sleep than do healthy control subjects. Many people
suffer chronic pain in the absence of any past injury or
evidence of illness. Although more than one in five Americans
live with chronic pain, women are more likely to suffer from
chronic pain conditions than men. If you or a family member
suffer from chronic pain, you know that the search for relief is
an ongoing process. But some people suffer chronic pain in
absence of any past injury or evidence of body damage. At least
25 percent of Americans suffer from back pain. One fourth of
these individuals, back pain is chronic and unremitting.
Experience
If you're grappling with chronic pain, one of the earliest and
most wrenching emotions you experience is a deep sense of loss.
In fact, a number of people with SCI experience chronic pain in
areas that otherwise have no sensation. Lascelles' experience,
owners are usually more concerned about pain from surgery than
pain associated with chronic conditions. The path to chronicity
of pain is characterised by failed attempts to adjust and cope
with an uncontrollable, frightening, and adverse experience.
Problem Of Chronic Pain
RSD or RSDS is a neurological problem and one of the symptoms is
constant chronic burning pain. It is now appreciated that the
phenomenon of wind-up is crucial to understanding the problem of
chronic pain. Chronic pain in children is an important problem
and more action is urgently required to overcome the
embarrassing lack of data on childhood pain. Some believe that
many factors work together to produce chronic pain, rather than
a single disease or medical problem. The longer pain goes on the
more susceptible it is to other influences and developing into a
problem.
Source From Injury
Some people develop chronic pain out of the blue, with no injury
or illness to trigger pain signals. Once chronic pain that has
been caused by an injury or surgery is managed, patient recovery
may be faster. an injury, and chronic pain with no identifiable
pain generator (e.g. The injury transformed her into one of
millions of Americans tormented by chronic pain. In stark
contrast to acute pain, persists beyond the amount of time that
is normal for an injury to heal. In some cases this may stem
from an injury incurred during an accident or an assault.
Stress
Managing stress and managing chronic pain go hand in hand.
Stress Ask most chronic pain patients what their most
significant source of stress is, and they will usually tell you
that it is pain. Physical, psychological, and emotional stress
may worsen chronic pain. Predictors of posttraumatic stress
disorder symptom severity level in chronic low back pain
patients.
Prevalence
Statistical analysis The prevalence of recent pain, chronic
pain, and severely disabling chronic pain were summarised as
percentages of respondents with 95% confidence intervals. Croft
et al [11] found the prevalence of chronic pain to be slightly
lower in postal survey non-responders. A small number of
previous studies have sought to collect data on the prevalence
of chronic pain from non-responders. The prevalence of severely
disabling chronic pain in this sample was 3.0%.
Depression
This pattern has to be changed if depression, stress, and
chronic pain itself are to be conquered. This is because the
consequences of chronic pain and the symptoms of depression look
very similar. Depression Persons with a chronic pain problem
often show decreases in meaningful and enjoyable activities.
Depression is often associated with chronic pain and may need to
be treated as a separate, but related, condition. Living with
chronic pain can lead to loss of appetite, depression, and
exhaustion. The consequences of unrelieved chronic pain in this
population, similar to others, include depression, decreased
socialization and sleep disturbance. Influence of chronic pain
on mood and psychosocial function, utilizing age-specific scales
(e.g., geriatric depression scale). Nelson and Diane...and
depression in patients with chronic pain was investigated.
Counselling may also be of some help in addressing the
depression which so often accompanies chronic pain or illness.
Levels of anxiety, depression and self-rated health were
described for respondents with severely disabling chronic pain
and contrasted with respondents reporting no pain. Psychological
therapy for anxiety and depression is helpful in managing the
emotional consequences of chronic pain. This is not the case and
if somebody has chronic pain and depression, 'you have to treat
both', he says. Our research provides further evidence that
chronic pain and depression are quite independent", Dr Clauw
said. There are many factors that affect the development of
chronic pain such as age, level of disability, depression, or
the presence of nerve damage. Schatzberg suspects that the
presence of chronic pain should be added to this list as a
symptom for assessing depression.