Chronic Pain Dr Steve Gilbert. OUCH!!! Co-morbidity associated with pain 18 27 33 36 39 55 60...

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Chronic Pain Dr Steve Gilbert

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Transcript of Chronic Pain Dr Steve Gilbert. OUCH!!! Co-morbidity associated with pain 18 27 33 36 39 55 60...

Page 1: Chronic Pain Dr Steve Gilbert. OUCH!!! Co-morbidity associated with pain 18 27 33 36 39 55 60 010203040506070 Poor appetite Anxiety Depression.

Chronic PainDr Steve Gilbert

Page 2: Chronic Pain Dr Steve Gilbert. OUCH!!! Co-morbidity associated with pain 18 27 33 36 39 55 60 010203040506070 Poor appetite Anxiety Depression.

OUCH!!!

Page 3: Chronic Pain Dr Steve Gilbert. OUCH!!! Co-morbidity associated with pain 18 27 33 36 39 55 60 010203040506070 Poor appetite Anxiety Depression.
Page 4: Chronic Pain Dr Steve Gilbert. OUCH!!! Co-morbidity associated with pain 18 27 33 36 39 55 60 010203040506070 Poor appetite Anxiety Depression.
Page 5: Chronic Pain Dr Steve Gilbert. OUCH!!! Co-morbidity associated with pain 18 27 33 36 39 55 60 010203040506070 Poor appetite Anxiety Depression.
Page 6: Chronic Pain Dr Steve Gilbert. OUCH!!! Co-morbidity associated with pain 18 27 33 36 39 55 60 010203040506070 Poor appetite Anxiety Depression.
Page 7: Chronic Pain Dr Steve Gilbert. OUCH!!! Co-morbidity associated with pain 18 27 33 36 39 55 60 010203040506070 Poor appetite Anxiety Depression.

Co-morbidity associated with pain

18

27

33

36

39

55

60

0 10 20 30 40 50 60 70

Poor appetite

Anxiety

Depression

Concentration difficulties

Drowsiness

Lack of energy

Difficulty sleeping

% patients with moderate to very severe

discomfort due to symptoms (n=126)

Meyer-Rosberg K et al. Eur J Pain 2001; 5: 379–89.

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Page 9: Chronic Pain Dr Steve Gilbert. OUCH!!! Co-morbidity associated with pain 18 27 33 36 39 55 60 010203040506070 Poor appetite Anxiety Depression.
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Page 11: Chronic Pain Dr Steve Gilbert. OUCH!!! Co-morbidity associated with pain 18 27 33 36 39 55 60 010203040506070 Poor appetite Anxiety Depression.
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Limbic System

SENSORYConscious BrainThinking

AFFECTIVEFeelings

Wind-up and long term potentiationCentral sensitization

Spinal cord

Fear, anxiety, sleep, punishment

autonomic changesLocation rational

“oh bother”

Muscle tightening

Recruitment

Sensitivity

Sometimes – most of the time

feed

back

ALARMS

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Page 17: Chronic Pain Dr Steve Gilbert. OUCH!!! Co-morbidity associated with pain 18 27 33 36 39 55 60 010203040506070 Poor appetite Anxiety Depression.

RESOURCES

• Fife Pain site – www.nhsfife.org/chronicpain

• National Pain site - CHRONICPAINSCOTLAND.ORG 

• Pain Association Scotland & • Pain Concern• The Pain Toolkit is a really useful resource

http://www.nhsfife.org/chronicpain

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