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All Pain Co-morbidities Articles

Sexual trauma in particular was of major concern for the risks of chronic pain conditions.
Patients with comorbid chronic pain and dementia are best managed with a collaborative multidisciplinary team.
Sleep disorders and chronic pain are bidirectional and interactive and often co-exist.
Examining the interrelationship between childhood obesity and chronic pain, and the impact these comorbidities play in pain conditions.
Patients with schizophrenia do feel pain. The notion of pain insensitivity is not accurate--rather patient with schizophrenia may experience disturbed or distorted, rather than, an absence of pain.
Dr. Jori Fleisher, assistant professor of neurology at NYU Langone Medical Center, discusses the way women with Parkinson's disease experience pain.
Learn more about how to diagnose and treat comorbid bipolar disorders and pain.
Gaining a better understanding of the association between depression and chronic pain; the first column in a monthly series on mental health and chronic pain.
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.
Sleep is a vital physiologic process, and notable reductions in sleep can have negative physiologic, cognitive, and emotional effects. Article covers treating chronic pain-related insomnia.
Along with anxiety and depression, attention deficit hyperactivity disorder (ADHD) is a common comorbidity among patients with chronic pain. Review from a pain specialist of handling this pain comorbidity.
The editor of Practical Pain Management discuses dealing with chronic pain patients who also suffer from insomnia, a common pain co-morbidity.
Understanding and treating the causes and symptoms of tiredness among chronic pain sufferers helps clinicians restore alertness and vitality, increase mental and physical activity, minimize depression and apathy, and optimize pain management.
Persistent, unremitting pain may adversely affect the body's endocrine, cardiovascular, immune, neurologic and musculo-skeletal systems and require aggressive treatment of the pain as well as the resulting complications.
Insufficiently-treated severe acute pain has been observed to have multifactorial, deleterious effects — direct and indirect — on the cardiovascular system.
Under-reported and under-treated, chronic insomnia coexists with and perpetuates chronic pain. Article describes treatment of this pain comorbidity.
Insomnia is a common comorbidity with chronic pain. How do you help your pain patients get a good night's sleep?
This article discusses the pain and sleep relationship as well as how CPAP and oral appliances offer hope for many pain patients who have sleep disorders.
Although severe pain can have profound and negative impacts on the cardiovascular (CV) system, this complication has received scant attention. Pain may affect the CV system by multiple mechanisms, and sudden CV death may occur in chronic pain patients who experience a severe pain flare.
A biopsychosocial approach is best suited for assessment and treatment of traumatic musculoskeletal pain with concomitant post-traumatic stress disorder (PTSD).
Depression, anxiety, coping, somatization, sleeplessness, and hypochondriasis are prevalent in the chronic pain population and, left untreated, are associated with greater risk for poor outcomes.
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