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Chapter-06 Non-cancer Chronic Pain Management

BOOK TITLE: Handbook of Pain Management: A Case-based Approach

Author
1. Jain Jitendra
2. Doshi Kritika
ISBN
9789352702589
DOI
10.5005/jp/books/14138_7
Edition
1/e
Publishing Year
2018
Pages
27
Author Affiliations
1. Diamond palace, opposite Bandra Police station, Hill Road, Bnadra west, Mumbai 400050, Maharashtra, India, Lilavati Hospital, Bandra Reclamation, Mumbai, Maharashtra, India, Lilavati Hospital, Mumbai, Maharashtra, India, Lilavati Hospital and Wockhardt Hospital, Mumbai, Maharashtra, India
2. Jupiter Hospital and Bethany Hospital, Thane, Maharashtra, India
Chapter keywords
Non-cancer chronic pain management, physiotherapy, spine pain, facial pain, neuropathy, postsurgery persistent pain, chronic joint pain, central pain syndrome, nonpharmacological treatment

Abstract

The objective of this chapter is to introduce the non-cancer chronic pain management. Any pain persisting for more than 6 weeks after its regular treatment can be called chronic non-cancer pain. Pain should be assessed, noted (VAS or NRS score) and then after counseling the patient (about need for medications and ill effects of nontreatment of pain) treatment with medication should be started. Regular treatment can be either medication or physiotherapy or counseling or surgery or any standard treatment for a particular pain problem. Commonly seen chronic pain patients of non-cancer (benign and non-traumatic) are spine pain, headache and facial pain, neuralgia or neuropathy, postsurgery persistent pain, chronic joint pain, central pain syndromes etc. This chapter covers the assessment of pain, treatment of chronic pain, and nonpharmacological treatments. In this chapter, two cases are also discussed.

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