chronic pain dr steve gilbert. ouch!!! co-morbidity associated with pain 18 27 33 36 39 55 60...
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Chronic PainDr Steve Gilbert
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OUCH!!!
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Co-morbidity associated with pain
18
27
33
36
39
55
60
0 10 20 30 40 50 60 70
Poor appetite
Anxiety
Depression
Concentration difficulties
Drowsiness
Lack of energy
Difficulty sleeping
% patients with moderate to very severe
discomfort due to symptoms (n=126)
Meyer-Rosberg K et al. Eur J Pain 2001; 5: 379–89.
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Limbic System
SENSORYConscious BrainThinking
AFFECTIVEFeelings
Wind-up and long term potentiationCentral sensitization
Spinal cord
Fear, anxiety, sleep, punishment
autonomic changesLocation rational
“oh bother”
Muscle tightening
Recruitment
Sensitivity
Sometimes – most of the time
feed
back
ALARMS
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RESOURCES
• Fife Pain site – www.nhsfife.org/chronicpain
• National Pain site - CHRONICPAINSCOTLAND.ORG
• Pain Association Scotland & • Pain Concern• The Pain Toolkit is a really useful resource