Transition from acute to chronic postsurgical pain: risk factors and protective factors
Joel Katz,Ze'ev Seltzer +1 more
TLDR
It is argued that a focus on the transition from acute to chronic pain may reveal important cues that will help to predict who will go on to develop chronic pain and who will not and how to identify the risk factors and protective factors that predict the course of recovery.Abstract:
Most patients who undergo surgery recover uneventfully and resume their normal daily activities within weeks. Nevertheless, chronic postsurgical pain develops in an alarming proportion of patients. The prevailing approach of focusing on established chronic pain implicitly assumes that information generated during the acute injury phase is not important to the subsequent development of chronic pain. However, a rarely appreciated fact is that every chronic pain was once acute. Here, we argue that a focus on the transition from acute to chronic pain may reveal important cues that will help us to predict who will go on to develop chronic pain and who will not. Unlike other injuries, surgery presents a unique set of circumstances in which the precise timing of the physical insult and ensuing pain are known in advance. This provides an opportunity, before surgery, to identify the risk factors and protective factors that predict the course of recovery. In this paper, the epidemiology of chronic postsurgical pain...read more
Citations
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Journal ArticleDOI
Diagnosis and management of persistent posttraumatic trigeminal neuropathic pain secondary to implant therapy: A review.
Journal ArticleDOI
Outcomes of surgery on patients with a clinically inapparent inguinal hernia as diagnosed by ultrasonography.
TL;DR: Patients with a clinically inapparent inguinal hernia as diagnosed using ultrasonography report a high incidence of CPIP after elective hernia repair, and patients with atypical groin pain prior to surgery are especially prone to CPIP.
Book ChapterDOI
Manage My Pain: A Patient-Driven Mobile Platform to Prevent and Manage Chronic Postsurgical Pain
Aliza Weinrib,Muhammad Abid Azam,Vered Valeria Latman,Tahir Janmohamed,Hance Clarke,Joel Katz +5 more
Journal ArticleDOI
A qualitative study with orthopaedic surgeons on pain catastrophizing and surgical outcomes: shifting from a medical towards a biopsychosocial model of surgery.
TL;DR: Orthopaedic surgeons face challenges in identifying who is likely to reach optimal versus suboptimal outcome and the use of behavioural interventions to optimise post-operative outcomes or stop unnecessary treatments.
Anxiety, but not pain catastrophizing, represents a risk factor for severe acute postoperative pain: a prospective, observational, cohort study
TL;DR: The hypothesis that anxiety and pain catastrophizing perception (interpreted as hypervigilance) represent risk factors for severe acute postoperative pain was tested.
References
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