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James B. Talmage
and
Christopher R. Brigham

discusses the process of evaluating individuals with pain complaints. Section 15.6 outlines the components of this clinical assessment. It includes a review of all available medical documentation, a complete medical history (including family, work, social activities, and daily activities), all current complaints and pain history, a complete physical and neurological examination, appropriate ancillary studies, and psychological testing. The eight diagnostic characteristics of chronic pain (duration, dramatization, diagnostic dilemma, drugs, dependence, depression, disuse

in AMA Guides® Newsletter
Joseph A. Hirsch
,
Steven Mandel
,
Kurt T. Hegmann
,
Alexandra G. Stratyner
,
Stuart Gitlow
,
James B. Talmage
, and
Christopher R. Brigham

regarding a conscious decision to opt-in, could there then be other classes of disorders to be similarly managed? There is a risk of reinforcing drug addiction by providing financial assistance for drug dependence disability. The financial costs to Social Security and private disability systems may likely be unsustainable. Conclusions This article takes no position for or against a determination of disability for those with SUD. A consensus on whether drug addiction is a disability, or the advisability of financial support for drug addiction as a

in AMA Guides® Newsletter
Richard T. Katz
and
Stacey Lee Smith

: extensive work-up without clear diagnosis Drugs: frequent substance dependence/abuse, large amounts of drugs Dependence: dependent on physicians and demand excessive care, extensive passive physical therapy, dependent on family/spouse Depression: hypochondriasis, hysteria, unhappiness, hostility, poor coping mechanisms Disuse: immobilization causing secondary pain, overly cautious of further injury Dysfunction: withdraw from the social milieu, disengage from social and work activities, feel rebuffed by the medical provider Reference “Diagnostic

in AMA Guides® Newsletter