The Conundrum of Impairment and Disability Related to Chronic Pain
Steven D. Feinberg
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Christopher R. Brigham
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Charles N. Brooks
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Abstract

Assessment of impairment and disability experienced by patients with chronic pain is challenging. The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) assesses impairment primarily based on objective findings, but pain is subjective. The sixth edition of the AMA Guides provides a pain-related impairment (PRI) of up to 3% in rare situations. Otherwise, pain is considered to be reflected in the conventional impairment rating system. There are still many unanswered questions.

  • 1.

    Feinberg, SD, Brigham, CR, Ensalada, L. Assessing impairment and disability in the pain patient. AMA Guides Newsletter. January/February 2016.

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  • 2.

    Barth, RJ. Chronic pain: fundamental scientific considerations, specifically for legal claims. AMA Guides Newsletter. January/February 2013.

    • Search Google Scholar
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  • 3.

    Patterson, CS, Barth, RJ, Brigham, CR, et al. Malingering and other validity considerations. AMA Guides Newsletter. January/February 2012.

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  • 4.

    Aronoff, GM. Chronic pain and the disability epidemic. Clin J Pain. 1991;7(4):330338.

  • 5.

    Raja, SM, Carr, DB, Cohen, M, et al. “The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises.” Pain. 2020;161(9):19761982.

    • Search Google Scholar
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  • 6.

    American Psychiatric Association. Somatic Symptom Disorder Fact Sheet. https://www.psychiatry.org/psychiatrists/practice/dsm/educational-resources/dsm-5-fact-sheets. Accessed December 8, 2020.

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