Chronic Pain
Definition
Pain is an unpleasant sensory and emotional experience associated with tissue damage or described in terms of such damage.
Non cancer chronic pain is pain persisting > 3 months after the resolution of its apparaent provocation
Management
Conservative Non pharm
Pharm
Minimally invasive
Source
Dr George Merridew 2015
Pain is an unpleasant sensory and emotional experience associated with tissue damage or described in terms of such damage.
Non cancer chronic pain is pain persisting > 3 months after the resolution of its apparaent provocation
Management
Conservative Non pharm
- Aerobic exercise
- Physiotherapy
- Social support
- Aids to ADL
- Long term counselling
Pharm
- Paracetamol, NSAIDs, opiods, clonidine
- Amitriptyline, duloxetine, gabapentin, pregabalin
Minimally invasive
- LA blocks
- Epidural LA + depot corticosteroid for radicular spinal pain
- Acupuncture, TENS
- Epidural stimulators
- Subarachnoid infusion
- Nerve-destroying procedures
Source
Dr George Merridew 2015