Chronic pain in primary care

B H Smith, J L Hopton, W A Chambers

Research output: Contribution to journalArticle

60 Citations (Scopus)

Abstract

Chronic pain is a very common cause of suffering, disability and economic adversity in the community. It is a complex problem that needs to be understood in a multi-dimensional way for effective management. Most research to date has been based in specialist clinics rather than in primary care, with consequently limited findings. Chronic pain differs from acute pain in that management follows a rehabilitative Father than a treatment model, though these are not mutually exclusive. Fu II assessment of the patient, preferably multi-disciplinary, will improve his or her outlook. Management should be holistic, rigorous; in the application of conventional therapies (including analgesics and physical therapy) and ready to admit an improved understanding of psychological and social techniques. There may be a role for complementary therapies. As a large proportion of chronic pain presents only in the community, there may be a role for greater primary care input to management.

Original languageEnglish
Pages (from-to)475-482
Number of pages8
JournalFamily Practice
Volume16
Publication statusPublished - 1999

Keywords

  • chronic pain
  • complementary therapies
  • pain management
  • LOW-BACK-PAIN
  • NERVE-STIMULATION TENS
  • NON-MALIGNANT PAIN
  • GENERAL-POPULATION
  • CONTROLLED TRIAL
  • PREVALENCE
  • EFFICACY
  • IDENTIFICATION
  • EPIDEMIOLOGY
  • ACUPUNCTURE

Cite this

Smith, B. H., Hopton, J. L., & Chambers, W. A. (1999). Chronic pain in primary care. Family Practice, 16, 475-482.