Chronic pain

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Chronic pain

Chronic pain - Chronic pain matters.

Chronic pain with insufficient or no organic explanation is a common problem. Typical syndromes include chronic headache, continued low back pain, atypical facial pain, and abdominal or pelvic pain of unknown etiology. Although such patients truly experience pain (ie, the pain is not factitious, and the patient is not malingering), these syndromes are better understood as psychophysiologic rather than physical disorders. Most of these patients have organic pathology, but in many, evidence from the clinical assessment suggests that a psychologic disorder is the predominant influence on the intensity of pain and degree of disability. Some patients have psychogenic pain, with no identified organic pathology. Some cases of psychogenic pain can be further diagnosed as somatization disorder (numerous, often dramatic physical symptoms, including pain, typically affecting several organ systems) or hypochondriasis (pathologic preoccupation with minor symptoms).


People may develop abnormal illness behavior--a pattern of inactivity, social withdrawal, preoccupation with physical health, and inappropriate use of health care. In patients with persistent pain but no cancer, the occurrence of such behavior is often called the chronic nonmalignant pain syndrome. A subset of these patients have chronic intractable pain with profound psychologic and social impairment, marked by a depressed affect and a virtual lack of function. Such patients represent one end of a clinical spectrum characterized by a history of persistent pains (often multiple), of failed medical and surgical treatments, of using many drugs (sometimes involving abuse or addiction), and of sleep disturbances. They are unable to work, and family relationships are disturbed. Depression or lassitude is common, and insight is limited. Such behavior may be reinforced by various factors in the patient's environment, including behavior of family members or close associates.


Sometimes pain is the direct cause of se xual problems. You simply hurt too much or feel too tired for s e x. If your pain is so severe that sex seems out of the question, talk to your doctor. You may need different or stronger pain-control medication.

On the flip side, pain medication can sometimes cause sexual problems. Some medicines diminish sex drive (libido) or inhibit sexual function by causing changes in your nervous system. Drugs also may affect blood flow and hormones — two important factors in sexual response.

Chronic pain can also drive an emotional wedge between you and your partner so that neither of you desires the other very much. Or, if pain has left you unemployed and unable to contribute to housework, your self-esteem could be so battered that you feel unattractive and undesirable to your partner. Awareness that your physical and emotional distance is hurting your partner may add to your anxiety, fear, guilt and resentment.

Sometimes underlying difficulties in your relationship come to the surface when you have a medical problem. If this happens, you may need to explore these previously hidden conflicts with your partner. Counseling may help.



This Chronic pain good health dom is allocated for Chronic pain associated matters and should be used for Chronic pain interrelated and correlated Chronic pain issues only.

We are in the process of creating this Chronic pain dom category and welcome recommended Chronic pain readings and ideas from our audience. We will, of course, be adding a few choice items from our own Chronic pain articles and Chronic pain tips, but will definitely consider other Chronic pain contributions based on their Chronic pain potential value to our customer base! Thank you in advance.

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Chronic pain - cognitive impact.

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