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Chronic Pain

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Newsletter Articles
Guides Newsletter (2021) 26 (1): 7–8.
Published: 01 January 2021
...Steven D. Feinberg, MD; Christopher R. Brigham, MD; Charles N. Brooks, MD 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...
Newsletter Articles
Guides Newsletter (2013) 18 (1): 1–18.
Published: 01 January 2013
...Robert J. Barth, PhD Scientific findings have indicated that psychological and social factors are the driving forces behind most chronic benign pain presentations, especially in a claim context, and are relevant to at least three of the AMA Guides publications: AMA Guides to Evaluation of Disease...
Newsletter Articles
Guides Newsletter (2019) 24 (5): 14–15.
Published: 01 September 2019
...Jay Blaisdell; James B. Talmage, MD Ratings for “non-specific chronic, or chronic reoccurring, back pain” are based on the diagnosis-based impairment method whereby an impairment class, usually representing a range of impairment values within a cell of a grid, is selected by diagnosis and “specific...
Newsletter Articles
Guides Newsletter (1999) 4 (4): 7–11.
Published: 01 July 1999
... Pain is the most common presenting complaint at an impairment evaluation. In the AMA Guides to the Evaluation of Permanent Impairment ( AMA Guides ), the term chronic pain is synonymous with chronic pain syndrome . The AMA Guides differentiates between pain of longstanding duration, termed...
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Criteria for Rating Impairment Related to <b>Chronic</b> <b>Pain</b> in One Upper Extremi...
Published: 01 July 2001
Table 13-22 Criteria for Rating Impairment Related to Chronic Pain in One Upper Extremity More
Newsletter Articles
Guides Newsletter (2016) 21 (1): 3–10.
Published: 01 January 2016
...Steven D. Feinberg, MD; Christopher R. Brigham, MD; Lee Ensalada, MD, MPH Assessing impairment and/or disability in the pain patient often is difficult due to both administrative and clinical issues; in addition, the terms impairment and disability are misunderstood. Chronic pain complaints may be...
Newsletter Articles
Guides Newsletter (2015) 20 (6): 6–12.
Published: 01 November 2015
...Steven Feinberg, MD The treatment of chronic pain conditions is difficult, time consuming, expensive, and, all too often, unsuccessful. An effective alternative is chronic pain rehabilitation or functional restoration (FR). An FR team works together to help patients achieve better outcomes with...
Newsletter Articles
Guides Newsletter (2008) 13 (3): 14–18.
Published: 01 May 2008
... critiques chronic pain models and presents a useful construct based on well-validated psychiatric diagnoses. The AMA Guides to the Evaluation of Permanent Impairment ( AMA Guides ) attempts to evaluate pain in the context of the underlying, objectively defined impairment and considers pain to be of...
Newsletter Articles
Guides Newsletter (2019) 24 (1): 3–14.
Published: 01 January 2019
... example, the CNS discussions address disorders of consciousness and awareness; sleep and arousal disorders; alterations in metal status, cognition, and highest integrative function; aphasia or dysphagia; emotional or behavioral disorders resulting from CNS causation (fifth edition only); chronic pain; and...
Newsletter Articles
Guides Newsletter (1997) 2 (4): 4–5.
Published: 01 July 1997
... impairment. Chapters 3, 14, and 15 regarding the musculoskeletal system, mental and behavioral disorders, and pain, respectively, may be relevant in evaluating an individual's pain following musculoskeletal injury. The eight diagnostic characteristics of chronic pain are duration, dramatization, diagnostic...
Newsletter Articles
Guides Newsletter (2016) 21 (4): 8–11.
Published: 01 July 2016
... single nerve root that the examiner can name. The diagnosis of “intervertebral disc herniation” cannot be made, and instead the “nonspecific chronic pain” diagnosis can be used. Nor can the diagnosis of alteration of motion segment integrity be used because the case lacks radiographically documented...
Newsletter Articles
Guides Newsletter (2005) 10 (4): 4–7.
Published: 01 July 2005
... of the role of thoughts, behavior, and environmental contingencies on presentations of chronic pain even when no scientifically credible and objective general medical findings explain the pain. For example, the AMA Guides points out that in as much as 85% of low back pain cases, no explanatory...
Newsletter Articles
Guides Newsletter (2017) 22 (4): 6–11, 16.
Published: 01 July 2017
... labor market and is therefore 100% disabled. Often the evaluating physician will suggest input from a forensic psychiatrist and vocational specialist. Some injured workers develop a “chronic pain syndrome” and do not provide a “full effort” during examination or functional testing. Subjective...
Newsletter Articles
Guides Newsletter (2005) 10 (3): 1–3, 10-12.
Published: 01 May 2005
... “chronic pain states” for which there may be “no demonstrable active disease or unhealed injury,” and Chapter 14 should be considered when symptoms are out of proportion to physical findings. This article focuses on the directions from Chapter 18 and other pain resources. The authors note that Chapter 18...
Newsletter Articles
Guides Newsletter (2005) 10 (1): 6–7.
Published: 01 January 2005
... protocol for assessing impairment associated with chronic pain, including the Impairment Impact Inventory (I 3 ) that consists of 26 items that assess the burden of illness in three domains: pain intensity, interference with activities of daily living, and emotional distress. A study was performed to...
Newsletter Articles
Guides Newsletter (2005) 10 (1): 1–3, 10-11.
Published: 01 January 2005
... damage can exist without pain. Pain, chronic pain, and impairment from pain are largely, even primarily, psychological phenomena. Accordingly, the determination whether to rely on the pain chapter or the mental/behavioral chapter in the evaluation of a pain presentation cannot be reduced to a misleading...
Newsletter Articles
Guides Newsletter (2021) 26 (2): 3–12.
Published: 01 March 2021
... evaluate chronic problems associated with COVID-19. © 2021 American Medical Association. All Rights Reserved. 2021 American Medical Association COVID-19 Long COVID Impairment Long Haulers SARS-CoV-2 EDITORIAL COMMENT Although this article's focus is on COVID-19 and MMI, it is also...
Newsletter Articles
Guides Newsletter (2014) 19 (2): 3–6.
Published: 01 March 2014
... Impairment ( AMA Guides ), Sixth Edition, provides ratable impairment for the diagnosis of “non-specific chronic, or chronic recurrent low back pain (also known as chronic sprain/strain, symptomatic degenerative disc disease, facet joint pain,” and others. The evaluator should consider the diagnosis of non...
Newsletter Articles
Guides Newsletter (2001) 6 (4): 1–4, 11, 12.
Published: 01 July 2001
...Table 13-22 Criteria for Rating Impairment Related to Chronic Pain in One Upper Extremity ...
Newsletter Articles
Guides Newsletter (2021) 26 (2): 18–19.
Published: 01 March 2021
... in Table 17-33 would be “trochanteric bursitis (chronic) with abnormal gait,” assuming the patient's gait became abnormal with prolonged walking due to the onset of pain and weakness. This diagnosis is associated with 3% whole person (7% lower extremity) impairment. A rating physician who found the...