Harrison's Practice

Approach to the Patient with Chronic Pain

Definition

  • Pain
    • Unpleasant sensation localized to a part of the body
    • Often described in terms of a penetrating or tissue-destructive process (e.g., stabbing, burning, twisting, tearing, squeezing) or of a bodily or emotional reaction (e.g., terrifying, nauseating, sickening)
    • Moderate or higher-intensity pain is often accompanied by anxiety and urge to escape or terminate the feeling.
  • Chronic
    • Usually defined as pain lasting > 3–6 months
    • Term can also refer to pain that recurs over a prolonged period, caused by various diseases or abnormal conditions.
    • Often broken down into 3 categories:
      • Oncologic
      • Neuropathic (e.g., diabetic neuropathy, trigeminal neuralgia, compression neuropathies)
      • Non-neuropathic (e.g., arthritis, musculoskeletal)

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