Abstract
Chronic pain is a common healthcare problem worldwide that ranks as a predominant reason for consulting a physician, yet effective management of chronic pain remains suboptimal, often resulting in unnecessary suffering and decreased quality of life, lost productivity and excessive healthcare costs. To overcome the challenges associated with the management of chronic pain, increased awareness and both patient and physician education are required. Improving physician knowledge of pain assessment and management guided by recommendations for a comprehensive, multifactorial, personalised treatment approach involving pharmacological and non-pharmacological approaches is key to achieving effective pain relief. Guidelines for the management of non-cancer and cancer pain recommend thorough patient assessment before individualized therapy based on the type and intensity of pain. The availability of mechanism-specific analgesics has facilitated improvements in the treatment of chronic non-cancer pain, which may be of neuropathic, muscle, inflammatory, mechanical/compressive or mixed origin. Stepwise escalation of analgesic therapy (paracetamol, non-steroidal anti-inflammatory drugs, mild to strong opioids) according to the World Health Or...Continue Reading
References
May 10, 2001·American Journal of Therapeutics·B H McCarberg, R L Barkin
Sep 18, 2001·Clinical Therapeutics·A J ClaxtonC Pierce
Dec 4, 2001·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·C MiaskowskiK Schumacher
Sep 19, 2002·British Journal of Clinical Pharmacology·S C LewisBengt-Erik Wiholm
Dec 19, 2002·Drugs·Bruce Nicholson
Dec 23, 2003·Current Medical Research and Opinion·Cathy Stannard, Martin Johnson
Feb 21, 2004·Journal of the American College of Cardiology·Patricia A Howard, Patrice Delafontaine
Aug 13, 2005·European Journal of Pain : EJP·Harald BreivikDerek Gallacher
Jun 21, 2007·Anesthesia and Analgesia·Frank BrennanMichael Cousins
Aug 1, 2007·Journal of Pain and Symptom Management·Roelien H EntingPeter A E Sillevis Smitt
Oct 9, 2007·Pain·Robert H DworkinMark S Wallace
Feb 28, 2008·Drug Development and Industrial Pharmacy·Dave A MillerRobert O Williams
May 28, 2008·Pain Practice : the Official Journal of World Institute of Pain·Joseph PergolizziPaola Sacerdote
Jul 18, 2008·Annals of Oncology : Official Journal of the European Society for Medical Oncology·S DeandreaG Apolone
Feb 4, 2009·The Journal of Pain : Official Journal of the American Pain Society·Roger ChouUNKNOWN American Pain Society-American Academy of Pain Medicine Opioids Guidelines Panel
Oct 13, 2009·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Megan Crowley-MatokaDiana J Burgess
Aug 14, 2010·Pain·Nanna Brix FinnerupTroels Staehelin Jensen
Sep 30, 2010·Journal of the National Comprehensive Cancer Network : JNCCN·Robert SwarmUNKNOWN NCCN Adult Cancer Pain
Oct 30, 2010·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Carole C UpshurRoger Luckmann
Feb 22, 2011·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Michael E Schatman
Mar 18, 2011·Pain Practice : the Official Journal of World Institute of Pain·Alessandra GraziottinMichael N Berliner
May 20, 2011·Current Clinical Pharmacology·Carlos De las Cuevas
Jun 8, 2011·Journal of Clinical Psychology·Mark A LumleyFrancis J Keefe
Oct 20, 2011·Annals of Oncology : Official Journal of the European Society for Medical Oncology·C I RipamontiUNKNOWN ESMO Guidelines Working Group
Mar 6, 2012·Clinical Drug Investigation·Renato Vellucci
Mar 6, 2012·Clinical Drug Investigation·Diego Fornasari
Citations
Jul 25, 2015·European Journal of Pain : EJP·O GunduzA Ulugol
Sep 27, 2013·Expert Opinion on Pharmacotherapy·Paul Farquhar-Smith, Anthony Gubbay
Aug 29, 2014·Current Medical Research and Opinion·Carmelo Scarpignato, Luigi Gatta
Aug 1, 2015·Journal of Neurosurgery·Erich Talamoni FonoffManoel Jacobsen Teixeira
Mar 13, 2014·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Dennis C TurkMyoung Kim
Jun 12, 2013·Journal of the American Medical Directors Association·Albert LukasMichael D Denkinger
Aug 13, 2015·Best Practice & Research. Clinical Rheumatology·Piercarlo Sarzi-PuttiniSerge Perrot
Mar 14, 2013·Nursing & Health Sciences·Nimet OvayoluAlper Sevinç
Jun 12, 2013·Pain Practice : the Official Journal of World Institute of Pain·Joost L M JongenCraig T Hartrick
Aug 13, 2015·Best Practice & Research. Clinical Rheumatology·Jacob N Ablin, Dan Buskila
May 10, 2015·Neuroscience and Biobehavioral Reviews·Lincoln M TracyMelita J Giummarra
Jun 18, 2014·Progress in Orthodontics·Iacopo CioffiAmbrosina Michelotti
Aug 1, 2015·Palliative & Supportive Care·Kimberson TancoEduardo Bruera
Oct 18, 2016·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·Anaïs LacasseManon Choinière
Dec 19, 2015·International Journal of Psychiatry in Medicine·David R SpiegelOlivia Raulli
Dec 7, 2017·Frontiers in Pharmacology·Marcos F DosSantosAlexandre F DaSilva
Apr 17, 2018·The Clinical Journal of Pain·Carlos Suso-RiberaAzucena García-Palacios
Jan 10, 2019·The American Journal on Addictions·Hiroko TakakiAkihito Hagihara
Feb 28, 2018·Trials·Carlos Suso-RiberaAzucena García-Palacios
Sep 22, 2015·CMAJ Open·Huguette St-AmantAnaïs Lacasse
Jul 25, 2019·Health and Quality of Life Outcomes·C Suso-RiberaA García-Palacios
Dec 5, 2014·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Hance ClarkeZe'ev Seltzer
Jun 17, 2015·Skeletal Radiology·Marcus PiantaDavid McCombe
May 28, 2019·Frontiers in Psychology·Carlos Suso-RiberaDavid Gallardo-Pujol
Feb 29, 2020·Journal of Pain Research·Juan YangLizu Xiao
Mar 20, 2013·Advances in Skin & Wound Care·Elena PopeR Gary Sibbald
Aug 15, 2020·Indian Journal of Anaesthesia·Babita GhaiSukhminder Jit Singh Bajwa
Apr 22, 2015·Cellular and Molecular Life Sciences : CMLS·Jialie LuoHongzhen Hu
Jul 6, 2018·Neuropsychopharmacology : Official Publication of the American College of Neuropsychopharmacology·Dayna L AverittAnne Z Murphy
May 26, 2018·Scandinavian Journal of Pain·Linda RankinGisselle Gallego
Aug 27, 2019·SAGE Open Nursing·Geraldine MartorellaLaurie Abbott