A Better Understanding of Chronic Pain

The concept that“pain is pain”and that chronic pain is simply acute pain continuing for too long is archaic and wrong.

This misconception leads to:

1. General misunderstanding of what chronic pain is

2. Inadequate and inappropriate treatment of the pain

  • incorrect medication –
  • medication dose escalationc. overdosing of medication
  • unnecessary special investigations radiology -cost!!
  • unnecessary surgery or repeat surgery – especially spine surgery

3. General neglect of these patients:

  • doctor doesn‟t know what to do anymore
  • patients get told it‟s in their head –to psychologist or psychiatrist
  • patients get told they must “learn to live with it”
  • change behaviour‟.

Download the presentation

Presentation published on the web site University of Pretoria
Managment of Chronic Pain

Russell Raath MBChB MMed FIPP
Anaesthesiologist and Chronic Pain Practitioner
Jakaranda Pain Clinic Pretoria

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