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All Pain Co-morbidities Articles

Fibromyalgia is associated with many somatic symptoms, including fatigue, gastrointestinal complaints, and headaches.
Pharmaceutical Medications There are four types of drugs that have been approved by the Food and Drug Administration (FDA) to help treat insomnia: benzodiazepines, nonbenzodiazepines, melatonin receptor agonist, and antidepressants.
Insomnia and depression often are considered comorbidities of chronic pain. However, insomnia should be considered its own entity. Learn more about differentiating pain, insomnia, and depression.
People with chronic pain are prone to frequent falls. Learn more about what is the incidence, who is at risk, and why do they occur?
Most clinicians are unfamiliar with the term pain catastrophizing. Without treatment, patients who catastrophize about their pain are at higher risk for developing chronic pain and disability. Learn more about this important psychological component of pain.
In the Diagnostic and Statistical Manual of Mental Disorders 5, sleep-wake disorders encompass 10 conditions manifested by disturbed sleep, distress, and impairment in daytime functioning.1 Sleep disorders include insomnia, narcolepsy, restless leg syndrome, and breathing-related disorders (obstructive sleep apnea).
There is a growing awareness that sound restorative sleep is important to allow the pain patient to cope with persistent discomfort on a daily basis. Recent evidence indicates that pain and sleep have a reciprocal, interdependent relationship. In addition, recent research has established that poor sleep can predict pain in certain conditions and that poor sleep compounds the pain experience.
Delirium in the elderly, use of opioids following surgery, improved prosthetics, and epigentics
PPM Editor in Chief Dr. Forest Tennant discusses suffering and suicide attempts in elderly pain patients.
PPM Editor in Chief-authored article about sudden, unexpected death in patients with chronic pain.
One of the most successful treatment models for comorbid pain and mental health disorders is a program based on the biopsychosocial model, which takes into account physical, mental health, and social issues. Learn more about how this model works and if you should use it with your chronic pain patients.
Many pain management practitioners realize there is a critical connection between pain and sleep. But how best to treat these pain patients?
The prevalence of chronic pain and the presence of a sleep disorder depend on a number of factors, including the type of pain, the age of the patient, gender, and the existence of comorbid conditions such as depression.
Educate, Then Let Patient Choose C. Norman Shealy, MD, PhD Fair Grove, MO As with all medical problems, I list the best options I see and then let the patient choose. Here are some of the measures typically discussed:
Chronic pain is associated with high rates of mental health disorders. The comorbid relationship between chronic pain and these disorders has been identified in patients with chronic low back pain (LBP), chronic work-related musculoskeletal pain disability, chronic arthritis, headache/migraine, temporomandibular joint disorder (TMD), upper extremity disorders such as carpal tunnel syndrome, fibromyalgia, and a heterogeneous chronic pain group.