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Topic: Chronic pain

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Pain management

Pain

Back pain

Pain medicine

Low back pain

Tension headache

Drug tolerance

Analgesic

Palliative care

Chemical dependency

Amitriptyline

Multifactorial

Desensitization

Motivation

Neurology

	American Pain Society – APS - Pediatric Chronic Pain
		Chronic pain is a significant problem in the pediatric population, conservatively estimated to affect 15% to 20% of children (Goodman & McGrath, 1991).
		Chronic pain in children is the result of a dynamic integration of biological processes, psychological factors, and sociocultural context, considered within a developmental trajectory.
		Chronic pain may include varying amounts of disability, from none to severe, and may be independent of the amount of tissue damage and perceived severity (Melzack & Wall, 1965).
	www.ampainsoc.org /advocacy/pediatric.htm (2682 words)

	Chronic Pain
		Frequently at pain clinics across the country it is not unusual for patients to have seen 9, 10, or 12 doctors of different specialties searching for help to relieve their pain before they finally are sent to or find a pain clinic.
		Chronic Pain management is a very dynamic field with constant changes and improvements in the treatment for patients.
		The key to treating chronic pain is to accurately diagnose the cause of the pain and manage it in conjunction with the patient's abilities, beliefs and limitations, in such a way that allows the patient to control his/her pain and a resume a normal life.
	www.laredopain.com /ChronicPain.htm (1303 words)

	Chronic Pain
		Chronic pain should not be confused with acute pain, which is pain that occurs in response to an injury or other painful stimulus, but goes away as soon as the injury heals or the stimulus is removed.
		Chronic pain is often relieved by immersing the patient in activities that get his or her mind off the pain, such as a hobby.
		Because chronic pain has a negative effect on all aspects of your life, it is important to seek treatment as soon as you recognize that the pain has become chronic.
	www.hmc.psu.edu /healthinfo/c/chronicpain.htm (1175 words)

	Chronicpain.org Chronic Pain Outreach
		Chronicpain.org purpose is to lessen the suffering of people with chronic pain by educating pain sufferers, health care professionals, and the public about chronic pain and its management.
		Chronic pain is defined by experts as pain that has not gone away or recurs frequently even after six months have passed.
		Chronic pain brings a burden of depression, anxiety, frustration, fatigue, isolation, and lowered self-esteem.
	chronicpain.org (367 words)

	Chronic Pain
		Pain can be anything from a slight nuisance, such as a mild headache, to something excruciating and emergent, such as the chest pain that accompanies a heart attack.
		Other pain disorders such as the neuralgias and neuropathies that affect nerves throughout the body, pain due to damage to the central nervous system (the brain and spinal cord), as well as pain where no physical cause can be found - psychogenic pain - increase the total number of reported cases.
		Chronic pain is long standing pain that persists beyond the usual recovery period or occurs along with a chronic health condition, such as arthritis.
	www.healthsystem.virginia.edu /uvahealth/adult_pmr/chronic.cfm (1094 words)

	Pain: Hope Through Research: National Institute of Neurological Disorders and Stroke (NINDS)
		Pain in younger patients also requires special attention, particularly because young children are not always able to describe the degree of pain they are experiencing.
		Pain is a complicated process that involves an intricate interplay between a number of important chemicals found naturally in the brain and spinal cord.
		The idea of using receptors as gateways for pain drugs is a novel idea, supported by experiments involving substance P. Investigators have been able to isolate a tiny population of neurons, located in the spinal cord, that together form a major portion of the pathway responsible for carrying persistent pain signals to the brain.
	www.ninds.nih.gov /disorders/chronic_pain/detail_chronic_pain.htm (10065 words)

	Chronic Pain -- Cause
		The cause of chronic pain is not clear.
		Chronic pain can develop after a major injury or illness, such as a back injury or shingles, or it can develop without a known cause.
		Neurogenic pain, or neuropathic pain, which occurs when the peripheral nerves or central nervous system are somehow damaged.
	www.webmd.com /hw/pain_management/tr2759.asp (224 words)

	Chronic Pain And The Family
		Yet, for many individuals with chronic pain, physiological/ anatomical causes provide an inadequate explanation to account for the subjective experience of suffering and for the lack of success of conventional treatments.
		When a member of the family system develops chronic pain and it becomes clear that the problem is indeed chronic, the family will usually reorganize in a way that allows it to keep functioning as a family unit.
		In essence, if chronic pain affects a given individual, it becomes essential for the health care professional, the "sufferer", and the family to understand that the pain also affects the family.
	www.chronicpain.org /articles/view.php?id=1 (1207 words)

	Pain Medicine & Palliative Care: Pain Medicine
		Chronic Low Back Pain -- Chronic back pain is among the most common pain syndromes affecting men and women equally.
		Pain, the most prominent symptom in most people with osteoarthritis, is the most important determinant of disability.
		Sickle Cell Pain -- Sickle cell disease is the name given to a group of illnesses that are a result of red blood cells that become misshapen.
	www.stoppain.org /pain_medicine/content/chronicpain/default.asp (391 words)

	Chronic pain - Wikipedia, the free encyclopedia
		Chronic pain is essentially caused by the bombardment of the central nervous system (CNS) with nociceptive impulses, which causes changes in the neural response.
		However, it is important to remember that chronic pain is multifactorial, with the underlying biological changes affecting physical and psychosocial factors.
		Expert physician care is generally necessary to treat any pain that has become chronic and usually involves a multi-disciplinary team which may include a combination of physiotherapists, psychologists, counselors, and specialists, such as cancer or palliative care nurses for cancer or physicians who specialize in spine medicine for back pain.
	en.wikipedia.org /wiki/Chronic_pain (1005 words)

	The American Geriatrics Society - Education - Safe Driving for Seniors (Site not responding. Last check: 2007-11-04)
		Chronic pain is pain or discomfort that lasts more than three months.
		A pain diary is simply a record of the pain you have felt.
		Some chronic pain problems are extremely complex and require a team of specialists to diagnose and manage it.
	www.americangeriatrics.org /education/forum/chronicpain.shtml (1083 words)

	Chronic Pain Information Page: National Institute of Neurological Disorders and Stroke (NINDS)
		Common chronic pain complaints include headache, low back pain, cancer pain, arthritis pain, neurogenic pain (pain resulting from damage to the peripheral nerves or to the central nervous system itself), psychogenic pain (pain not due to past disease or injury or any visible sign of damage inside or outside the nervous system).
		Clinical investigators have tested chronic pain patients and found that they often have lower-than-normal levels of endorphins in their spinal fluid.
		Investigators are studying the effect of stress on the experience of chronic pain.
	www.ninds.nih.gov /disorders/chronic_pain/chronic_pain.htm (728 words)

	Chronic Pain -- Topic Overview
		Pain that continues for 3 months or longer is considered chronic.
		While it is normal for your body to send pain signals when you are injured or ill, pain that lingers after an illness or injury is not normal.
		Chronic pain can occur anywhere in your body and can range from mild and annoying to pain so severe that it interferes with your mood and ability to function.
	www.webmd.com /hw/pain_management/tr2757.asp (209 words)

	Chronic Pain Health Hub
		For the purposes of research and medical practice, pain can be separated into three categories: acute pain, chronic pain, and neuropathic pain.
		This is the kind of pain that is experienced from a paper cut or needle prick.
		In most types of neuropathic pain, all signs of the original injury are usually gone and the pain that one feels is unrelated to an observable injury or condition.
	www.spine-health.com /chronicpain/index.html (440 words)

	Managing Chronic Pain
		June Dahl, Ph.D., director of the American Alliance of Cancer Pain Initiatives and professor of pharmacology at the University of Wisconsin-Madison Medical School, says she recently took a call from a man with cancer who said he stopped taking an opioid pain medication on his own for fear that he was becoming addicted.
		Penney Cowan, executive director of the American Chronic Pain Association, another peer support organization in Rocklin, Calif., says support systems are important because they give people with pain the coping skills needed to take an active role in their recovery.
		Neuropathic pain is triggered by changes in the nerves themselves, or caused by changes in the brain or peripheral tissues.
	www.fda.gov /fdac/features/2004/204_pain.html (2318 words)

	Chronic Pain Institute - Home
		The Chronic Pain Institute Is a California, nonprofit for public benefit 501(c)3, corporation for scientific medical research that has a group of licensed physicians and dentists on its board of directors.
		It is dedicated solely to the research of chronic pain in an effort to soon eradicate its existence for mankind.
		While the Institute does post the names, and any reference material supplied by their simple notification of all interested pain management facilities without any actual endorsement of their validity, it does not actually perform routine care or management of chronic pain conditions beyond that of its own research or that of the individual researchers separately.
	www.chronicpaininstitute.org (287 words)

	Chronic Pain
		"Chronic pain continues to be perceived as a characterologic disorder rather than a serious, potentially fatal, medical disease.
		In some areas, such as psychogenic pain, medication and the effects of chronic pain on patients' everyday life, some doctors' and patients' perspectives differed remarkably.
		The belief that the use of opioids for pain relief causes addiction is a common clinical misconception that is a significant barrier to good pain management." Read more.
	www2.rpa.net /~lrandall/pain5.html (630 words)

	LiveScience.com - Surprising Source of Chronic Pain Discovered (Site not responding. Last check: 2007-11-04)
		It had not been made before partly because studies of chronic pain have tended to focus on the damaged nerves.
		Fine fibers communicate ongoing, burning pain that can prove depressing over time because it seems to have no identifiable source and is often hard to suppress with traditional painkillers.
		Lawson and her colleagues Laiche Djouhri and Stella Koutsikou studied the ongoing pain and the firing in very fine fibers, in particular a type that serve as damage detectors.
	www.livescience.com /humanbiology/060131_chronic_pain.html (483 words)

	Chronic pain definition - Chronic Pain: health and medical information concerning chronic pain management
		In contrast to acute pain that arises suddenly in response to a specific injury and is usually treatable, chronic pain persists over time and is often resistant to medical treatments.
		Chronic pain may be related to a number of different medical conditions including (but not limited to) diabetes, arthritis, migraine, fibromyalgia, cancer, shingles, sciatica, and previous trauma or injury.
		Chronic Pain - Chronic pain persists over a long period of time and is resistant to most medical treatments.
	www.medterms.com /script/main/art.asp?articlekey=22430 (312 words)

	Chronic Pain
		Comfort, that is, not being in pain, is one of your goals if you are sick and should be one of the goals of treatment for the doctor who is treating you for any illness, but especially for an illness associated with chronic pain.
		In these chronic illnesses, as in the treatment of chronic pain, your goal is to live as normally as possible.
		If you need to be on pain medicine for the rest of your life, you should not be said to be "addicted" to pain medicine any more than a person with diabetes who needs to be on insulin for the rest of his or her life should be said to be "addicted" to insulin.
	www.emedicinehealth.com /chronic_pain/article_em.htm (704 words)

	Chronic Pain - neurologychannel
		Pain that persists after healing has occurred, results from long-term illness, or has no apparent cause is called chronic pain.
		Chronic pain can cause patients to alienate those around them and often leads to drug addiction, irritability, and depression.
		Chronic pain occurs in as many as 90% of cancer patients and often is undertreated.
	www.neurologychannel.com /chronicpain (233 words)

	Job Accommodation Network (Site not responding. Last check: 2007-11-04)
		Chronic pain has been said to be the most costly health problem in America.
		Be aware that not all people with chronic pain will need accommodations to perform their jobs and many others may only need a few accommodations.
		A switchboard operator with chronic pain and fibromyalgia was accommodated with flexible scheduling, rest breaks, and an adjustable workstation.
	www.jan.wvu.edu /media/ChronicPain.html (1044 words)

	Chronic Pain - Back Pain - General Pain Resources (Site not responding. Last check: 2007-11-04)
		Chronic Pain Study - A study by TJ Murray, OC, MD, FRCPC, FACP, Professor of Medicine Department of Medicine (Division of Neurology) Dalhousie University.
		International Association for the Study of Pain - The IASP is an international, multidisciplinary, non-profit professional association dedicated to furthering research on pain and improving the care of patients with pain.
		Pain Connection - Pain Connection is a 501(c)(3) not-for-profit human service agency that provides a monthly support group, information and referrals and community education.
	www.painandhealth.org /pain-links.html (1514 words)

	Tame the pain : chronic pain : pain treatment : back pain : intrathecal drug delivery pump : chronic pain therapy : ...
		Back and leg pain, sciatica pain in the leg, arthritis, recurrent headache, CRPS (Complex Regional Pain Syndrome), refractory angina pectoris and peripheral vascular disease are common benign causes of chronic pain.
		If you suffer from chronic or cancer pain and feel that your current treatment is not effectively controlling your pain, it is important for you to talk to your doctor.
		The choice of treatment depends on the type of pain, how severe it is, and how you respond to your current pain therapy.
	www.tamethepain.co.uk (186 words)

	Chronic pain: Exercise can bring relief - MayoClinic.com
		When you're in pain, exercise is probably the last thing on your mind.
		Regular exercise is a versatile weapon in the fight against chronic pain.
		Joints that can move through their full range of motion are less likely to be plagued with aches and pains.
	www.mayoclinic.com /health/chronic-pain/AR00017 (650 words)

	Chronic Pain Rehabilitation Program
		We have been designated a VA "Clinical Program of Excellence" for pain treatment, and we are the only CARF (The Rehabilitation Accreditation Commission) accredited inpatient pain treatment center in the VA system.
		We accept referrals for the diagnosis and treatment of veterans with chronic pain from all 50 states, Puerto Rico, and the U.S. Virgin Islands.
		If you are a veteran with chronic pain, or have an eligible friend or relative with chronic pain, and would like information on how to apply for treatment, simply click the "Contact Us" button to send us an e-mail message.
	www.vachronicpain.org (350 words)

	Reclaiming your life in spite of chronic pain - MayoClinic.com (Site not responding. Last check: 2007-11-04)
		Complete relief from chronic pain may not be possible — but a full life certainly is. Establish your health care team and set goals to help you take back your life.
		Sometimes chronic pain follows an illness or an injury that appears to have healed.
		You often take extra doses of pain medication at night because you've forgotten to take a scheduled dose during the day or you need pain medication to help you sleep.
	www.mayoclinic.com /health/chronic-pain/PN00048 (767 words)

	American Pain Foundation
		As part of this tribute, APF has launched the "Freedom from Pain" media campaign, part of ongoing efforts to raise awareness of resources for veterans in pain, members of the military and their families.
		Astoundingly, 70 percent rated the intensity of their pain between a 7 and 10 on a scale of 0 to 10 (0=none, 10=worst pain imaginable) on a daily basis.
		Voices of Chronic Pain, a new patient survey released by APF, reveals the devastating impact of chronic pain on the lives of patients and the strong desire of patients for more options to help them manage their pain.
	www.painfoundation.org (1121 words)

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