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Faked Pain and Loss of Sensation
Published in Harold V. Hall, Joseph G. Poirier, Detecting Malingering and Deception, 2020
Harold V. Hall, Joseph G. Poirier
Headaches around the eyes can be also due to glaucoma and not bizarre. Pain around the back of the neck can be caused by meningitis, and in the face to trigeminal neuralgia. Psychological pain is a common correlate of many Diagnostic and Statistical Manual of Mental Disorders (DSM-5) (2013) conditions. These include the depressive and anxiety disorders, hypochondriasis and hysteria, and the organic mental disorders. The International Classification of Diseases describes many pain-related diseases, including musculoskeletal disorders (e.g., osteoarthritis and Paget’s disease), ischemic disorders (angina pectoris and claudication), neurological disorders (e.g., causalgia, coccydynia, and scar pain), and miscellaneous categories, such as chronic pancreatitis and temporomandibular joint syndrome.
A Patient’s Guide to Trigger Points
Published in Michael S. Margoles, Richard Weiner, Chronic PAIN, 2019
Patients who have suffered for months or years with a chronic undiagnosed pain develop psychological pain coping behavior. They experience secondary depression and sleep disturbances (lying on a TrP while asleep will activate it). They are anxious, frustrated, and exhibit a sense of hopelessness. It affects their work, home, and social life, restricting pastime activities and exercise. At some point, they may lose control of their life to the point that the pain controls them.
The approach to revision procedures
Published in Gregory D. Schroeder, Ali A. Baaj, Alexander R. Vaccaro, Revision Spine Surgery, 2019
Joseph A. Weiner, Wellington K. Hsu
As previously discussed, a simple screen for depression or other mood disorders during the initial history can help to identify patients with concurrent mental illness. When psychological factors are suspected, multimodal treatment programs that include psychological pain management therapy should be considered prior to surgical intervention. If surgery is unavoidable, postoperative management should integrate psychological pain therapy as soon as possible to avoid unnecessary complications.
Comparison of therapeutic effects of continuous epidural nerve block combined with drugs on postherpetic neuralgia
Published in International Journal of Neuroscience, 2021
Xi’an Dong, Yuantao Liu, Qianqian Yang, Zhaobin Liu, Zipu Zhang
Herpes zoster (HZ) is a reactivation of varicella zoster virus (VZV) that invades local nerves and skin, resulting in banded, clustered blisters on the corresponding skin innervated along the body surface nerves, accompanied by obvious neuralgia. VZV mainly invades local nerve fibers and skin. Blisters generally heal in 2-4 weeks. However, some patients have residual neuralgia, i.e. postherpetic neuralgia (PHN), and up to 20% of HZ patients develop to PHN [1]. At preast, there is no standard definition of PHN, and the consensus is that the pain in the affected area lasts for more than three months after the acute HZ rash heals [2]. The pathogenesis of PHN is still unclear, but it tends to occur in the elderly and mainly affects people over 60 years old. At the age of 60, about 60% of patients with HZ develop to PHN, while at age 70, 75% develop to PHN [3]. More than 30% of PHN patients have experienced persistent pain for more than one year [4]. Its long-term severe pain often causes great physical and psychological pain to patients.
Association between Pain Intensity, Pain Belief, and Coping Strategies in Older Adults
Published in Experimental Aging Research, 2023
Şule Şimşek, Ayşe Nur Oymak Soysal, Atiye Kaş Özdemir
According to univariate regression analysis, active coping strategies (p = .004, ß = −0.118), passive coping strategies (p < .001, ß = 0.366), organic pain belief (p < .001, ß = −0.443) and psychological pain belief (p = .025, ß = 0.092) were statistically significant predictors of pain intensity. According to multivariate regression analysis, when other independent variables were controlled, active coping strategies (ß = −0.14, p < .001) and organic pain belief had a statistically significant reducing effect on pain intensity (ß = −0.42, p < .001); passive coping strategies (ß = 0.24, p < .001) and psychological pain belief (ß = 0.12, p = .002) had statistically significant increasing effects on pain intensity (Table 4).
Evidence-based pain medicine for primary care physicians
Published in Baylor University Medical Center Proceedings, 2018
Graves T. Owen, Brian M. Bruel, C. M. Schade, Maxim S. Eckmann, Erik C. Hustak, Mitchell P. Engle
The goals of pain medicine include improving pain control, improving function, and enhancing coping skills to deal with ongoing pain. The ideal treatment plan for a given patient will depend on the specific clinical situation and will generally involve multidisciplinary treatment. Treatment modalities used to treat chronic pain include physical rehabilitation therapeutics (physical therapy, exercise, massage), psychological pain therapy, pharmacological therapy, interventional procedures (injections, neural blockade, implantable devices), surgical procedures (especially if progressive neurological compromise is present), and complementary and alternative medicine techniques and therapies.16