Chronic pain is a common presenting complaint in primary care. It is typically defined as pain persisting beyond the time anticipated for normal tissue healing, usually >3 months.
Over time, ...
Nociceptive pain (response to tissue damage): two types
Somatic: skin, bone, soft tissue disease; described as well localized, sharp, stabbing, aching.
Viscer...
Goals of treatment are to restore function and decrease pain while balancing risks and benefits of therapies.
Interdisciplinary teams offer the most effective approach to treating the physica...
It can be difficult to differentiate appropriate pain relief–seeking behavior from inappropriate drug seeking.
Maintain a nonjudgmental approach.
...
Bohnert ASB, Guy GP Jr, Losby JL. Opioid prescribing in the United States before and after the Centers for Disease Control and Prevention’s 2016 opioid guideline. Ann Intern Med. &#...
G89.29 Other chronic pain
G89.21 Chronic pain due to trauma
G89.28 Other chronic postprocedural pain
338.29 Other chronic pain
338.21 Chronic pain due to trauma
338.28 Other chronic postoper...
Start with the presumption that a patient’s pain is real, even if pathophysiologic evidence is initially lacking.
Emphasize that a pain-free life may not be possible—better function and...
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