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Chronic Primary Pain

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Newsletter Articles
Guides Newsletter (2023) 28 (1): 16–30.
Published: 01 January 2023
...James B. Talmage, MD The International Association for the Study of Pain and the World Health Organization have added a new diagnosis, chronic primary pain , and a new pain mechanism, nociplastic pain , to physicians' vocabularies. This new concept explains many pain presentations that have lacked...
Newsletter Articles
Guides Newsletter (2014) 19 (2): 3–6.
Published: 01 March 2014
...-specific chronic back pain only when no category of specific diagnosis fits the case (eg, no fracture, no spinal stenosis) or when “no reliable physical examination or imaging findings” but the patient's history of pain is felt to be reliable. According to the AMA Guides, primary determinant between...
Newsletter Articles
Guides Newsletter (1997) 2 (2): 6.
Published: 01 March 1997
...Christopher R. Brigham, MD Rating the impairment related to various chronic painful conditions, including headaches, is challenging and is addressed in the AMA Guides to the Evaluation of Permanent Impairment ( AMA Guides ) in a section of the chapter on pain. Primary headache disorders include...
Newsletter Articles
Guides Newsletter (2008) 13 (4): 6–14.
Published: 01 July 2008
... : 2290 - 2302 . 5. Arnow BA , Hunkeler EM , Blasey C et al. Comorbid Depression, Chronic Pain, and Disability in Primary Care. Psychosomatic Medicine. 2006 . 68 : 262 - 268 . 6. Barron J . Many saw free air-conditioner in post-9/11 clean-air program. New York...
Newsletter Articles
Guides Newsletter (2011) 16 (2): 1–7.
Published: 01 March 2011
... of death that is continuing to rise in the United States. 46 Scientific findings have repeatedly and reliably indicated that the primary risk factors for chronic benign pain are of a psychological nature or a social nature. 47 - 52 Given such indications that chronic benign pain...
Newsletter Articles
Guides Newsletter (1997) 2 (2): 7.
Published: 01 March 1997
...Lorne Direnfeld, MD, FRCP(C) © 1997 American Medical Association. All Rights Reserved. 1997 American Medical Association The Guides addresses impairment evaluation of headaches in section 15.9 of the chapter on pain (4th ed., 311). Rating impairment related to various chronic painful...
Newsletter Articles
Guides Newsletter (2021) 26 (5): 3–12.
Published: 01 September 2021
.... The analgesic efficacy of opioids for acute back pain is inferred from evidence in other acute pain conditions. Opioids do not seem to expedite return to work in injured workers or improve functional outcomes of acute back pain in primary care. For chronic back pain, systematic reviews find scant evidence...
Newsletter Articles
Guides Newsletter (2013) 18 (3): 6–7.
Published: 01 May 2013
... and Pelvis, Section 17.3e, Mental and Behavioral Problems and Chronic Pain, that, “In unusual cases, a musculoskeletal injury or incident may be accompanied by a primary mental health disorder, which is rated independently using Chapter 14, Mental and Behavioral Disorders. Under most circumstances, however...
Newsletter Articles
Guides Newsletter (2005) 10 (1): 1–3, 10-11.
Published: 01 January 2005
... 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 dichotomy...
Newsletter Articles
Guides Newsletter (2008) 13 (3): 14–18.
Published: 01 May 2008
... of the chronic pain syndrome. Chronic pain patients may use dramatic terms to discuss their suffering, in a style similar to that exhibited by somatizing patients, who invariably have pain-related complaints. The concept that 20-30% of primary care patients will be treated for somatic complaints and never...
Newsletter Articles
Guides Newsletter (1997) 2 (1): 5.
Published: 01 January 1997
... is rated according to the directions on pages 163–164 in chapter 5, “The Respiratory System.” Question: How do I rate for impairment due to chronic pain? Answer: In general, the impairment percentages in the chapters that consider the various organ systems allow for the pain that may...
Newsletter Articles
Guides Newsletter (2020) 25 (1): 3–11.
Published: 01 January 2020
... from evidence in other acute pain conditions. Opioids do not seem to expedite return to work in injured workers or to improve functional outcomes of acute back pain in primary care. For chronic back pain, systematic reviews have found scant evidence of efficacy. Randomized, controlled trials have high...
Newsletter Articles
Guides Newsletter (1997) 2 (4): 4–5.
Published: 01 July 1997
... cases are probably psychogenic. In chapter 15, the Guides states: However, there is some evidence relating the development of chronic pain to emotional abuse, sexual abuse, physical abuse, substance abuse or abandonment by the primary caregiver (4th ed., 307). The Guides distinguishes...
Newsletter Articles
Guides Newsletter (2000) 5 (1): 7–7, 12.
Published: 01 January 2000
... of patients with headache will not have permanent impairments.” (4th ed., 312) The paragraph “Chronic Pain” (4th ed., 312) indicates that headache can occasionally become “chronic pain,” in which case it has the pain behaviors characteristic of other chronic pain syndromes (i.e., meeting criteria of at least...
Newsletter Articles
Guides Newsletter (2005) 10 (4): 4–7.
Published: 01 July 2005
... reason not to do this. A mental health categorization and approach for chronic nonmalignant pain presentation would be consistent with the Guides Fifth Edition, Disability Evaluation, the American Psychiatric Association's diagnostic manual, the American Psychiatric Association's primary textbook...
Newsletter Articles
Guides Newsletter (2019) 24 (3): 3–9.
Published: 01 May 2019
..., chronic pain, or psychological factors) and may adversely affect recovery and stay at work/return to work, regardless of etiology and causation. The relationships among these elements can be represented by a simple model, as seen in Figure 1 . There are six major domains of influence on DFRUD...
Newsletter Articles
Guides Newsletter (2013) 18 (1): 1–18.
Published: 01 January 2013
... for compensation still emerged as a necessary condition for development of chronic pain following minor trauma. Hence, compensation must be considered a, if not the, primary risk factor for chronic pain in a claims context. In 1995, Rohling et al published a meta-analysis focused on the relationship...
Newsletter Articles
Guides Newsletter (2013) 18 (5): 11–12.
Published: 01 September 2013
... findings, and neurological examination was normal. I diagnosed posttraumatic cephalgia; chronic cervical, thoracic, and lumbar pain; chronic left shoulder pain with MRI evidence of tendinitis; and symptom magnification and abnormal illness behavior. I did not impose any restrictions. I am uncertain...
Newsletter Articles
Guides Newsletter (2022) 27 (6): 1–15.
Published: 01 November 2022
... strength), the erroneous finding of “spasm” on physical examinations of chronic spinal pain cases, whether “spasm” causes a decrease in or loss of cervical spine lordosis (straightening), and the significance of tenderness in chronic spinal pain cases. The objective of this article is for the reader...
Newsletter Articles
Guides Newsletter (2019) 24 (4): 3–14.
Published: 01 July 2019
...); back injury; pain (acute and/or chronic); opioid use (current); delay between injury and first medical treatment (greater) ▪ Compensation factors: prior WC or disability claims (worker or significant other); prior sick leave ▪ Self-rated functional status (poor) ▪ The worker's self-reported...