Document Detail

Chronic non-cancer pain: an overview of assessment and contemporary management.
MedLine Citation:
PMID:  11280843     Owner:  NLM     Status:  MEDLINE    
Pain is one of the foremost reasons for which people seek healthcare. The cost of pain to the American economy approximates $85 billion-$90 billion annually. Approximately one-third of Americans have some element of chronic pain. Acute and chronic pain are different entities requiring different approaches to treatment. The ability to assess chronic pain is fundamental to its management. The use of various subjective testing modalities, combined with a thorough history and physical examination and a review of pertinent laboratory data, enables the clinician to devise a management strategy. The management of chronic non-cancer pain syndrome often involves a concerted multidisciplinary endeavor that utilizes nerve block, pharmacological, psychological, surgical, and physical therapies. Trigger-point injections and sympathetic, epidural, subarachnoid, interpleural, intravenous, regional, and peripheral nerve blocks are utilized as indicated. Pharmacological management entails the use of numerous agents including nonsteroidal anti-inflammatory drugs, opioids, antidepressants, and anticonvulsants. Newer agents hold promise for facilitating the care of these patients.
M C Gitlin
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society     Volume:  151     ISSN:  0024-6921     ISO Abbreviation:  J La State Med Soc     Publication Date:  1999 Feb 
Date Detail:
Created Date:  2001-04-02     Completed Date:  2001-04-26     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  7505618     Medline TA:  J La State Med Soc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  93-8     Citation Subset:  IM    
Tulane University School of Medicine, USA.
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MeSH Terms
Chronic Disease
Pain / diagnosis*,  therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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