Chronic pain persists beyond the time anticipated for normal tissue healing (usually >3 months).
Over time, neuroplastic changes in the CNS transform pain into a chronic experience with emoti...
Nociceptive pain (response to tissue damage):
Somatic: skin, bone, soft tissue disease; described as well localized, sharp, stabbing, aching
Visceral: visceral ...
Goals of treatment are to restore function and decrease pain.
Treatment should always include exercise, cognitive-behavioral therapy (CBT), patient and family education, yoga, massage, relaxa...
Maintain a nonjudgmental approach.
Assess and document benefits, risks, pain levels, functioning, and quality of life.
Universal precautions:
Infor...
G89.29 Other chronic pain
G89.21 Chronic pain due to trauma
G89.28 Other chronic postprocedural pain
82423001 Chronic pain (finding)
431481001 chronic pain due to injury (finding)
27904700...
Start with the foundational belief that a patient’s pain is real.
Emphasize that a pain-free life may not be possible—better function and quality of life are shared goals.
Use a multidis...
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