Explaining chronic pain
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Transcript of Explaining chronic pain
Chronic PainDr Steve Gilbert
OUCH!!!
Co-morbidity associated with pain
18
27
33
36
39
55
60
0 10 20 30 40 50 60 70
Poor appetite
Anxiety
Depression
Concentration difficulties
Drowsiness
Lack of energy
Difficulty sleeping
% patients with moderate to very severe
discomfort due to symptoms (n=126)
Meyer-Rosberg K et al. Eur J Pain 2001; 5: 379–89.
Limbic System
SENSORYConscious BrainThinking
AFFECTIVEFeelings
Wind-up and long term potentiationCentral sensitization
Spinal cord
Fear, anxiety, sleep, punishment
autonomic changesLocation rational
“oh bother”
Muscle tightening
Recruitment
Sensitivity
Sometimes – most of the time
feed
back
RESOURCES
• Fife Pain info - https://sites.google.com/site/fifepaininfo/
• Scottish pain management website - http://www.knowledge.scot.nhs.uk/pain.aspx
• Pain Association Scotland & Pain Concern