Chronic pain history and symptoms

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Chronic Pain Microchapters

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Natural History, Complications and Prognosis

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History and Symptoms

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Case #1

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

History and Symptoms

  • Detailed surgical and medical history
  • Previous treatments/medications
  • The effects the symptoms have on the patient's life
  • Symptom history should include:
    • Location
    • Onset
    • Character
    • Intensity
    • Duration
    • Radiation
    • Associate symptoms
    • Alleviating factors
    • Aggravating factors

Chronic pain may generate other adversities including affective symptoms of depression and anxiety. It may also contribute to decreased physical activity given the apprehension of exacerbating pain.[1] Conversely it may itself have psychosomatic or psychogenic component to its cause.[2]

References

  1. Pruimboom L, van Dam AC (2007). "Chronic pain: a non-use disease". Med. Hypotheses. 68 (3): 506–11. PMID 17071012.
  2. Sarno, John et. al. (2006). The Divided Mind: The Epidemic of Mindbody Disorders. New York: ReganBooks. pp. 11–18. ISBN 0-06-085178-3.


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