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Postoperative Pain Patterns in Chronic Pain Patients: A Pilot Study – Source: Pain Medicine, Apr 2009

  [ 69 votes ]   [ 1 Comment ]
By C. Richard Chapman, et al. • www.ProHealth.com • April 16, 2009


Objective: This exploratory investigation compared patterns of postoperative pain over 6 days in normal patients recovering from surgery with those of patients using opioid medications for chronic pain. It tested the following hypotheses: 1) Chronic pain patients have a different pattern of postoperative pain than normals; 2) Women have a different pattern of postoperative pain resolution than men.

Patients: Normal (N = 96) and chronic pain (N = 42) patients undergoing surgery served as subjects.

Design: The study employed a linear mixed effects model to compare repeated measures of pain in the two patient groups.

Outcome Measures: Patients rated pain daily following surgery over 6 days. Each patient's pain pattern is a linear trend having an intercept (initial pain level) and a slope (rate of pain change over days).

Results:

• The chronic pain patients initially reported a higher mean pain level, and they differed from normal patients in their average postoperative pain patterns (P < 0.001), as did men and women (P = 0.039).

• Whereas normals decreased in pain report over the 6 days of recovery at an average rate of -0.35 units per day, chronic pain patients changed at an average rate of only -0.06 units per day (P < 0.001).

• Women began at day 0 with greater average pain than men (6.15 vs 5.16, P = 0.029) but resolved their pain more rapidly (-0.291 points per day vs -0.118 points per day, P = 0.017).

Conclusions: Surgical patients who have chronic pain and use opioid medications for that pain have more postoperative pain than normals and resolve that pain more slowly.

Source: Pain Medicine, Apr 2009;10(3) pp 481-487. Chapman CF, Donaldson G, Davis J, Ericson D, Billharz J. Pain Research Center, Department of Anesthesiology, School of Medicine, University of Utah, Salt Lake City, Utah, USA. [E-mail: crc20@utah.edu]





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Article Comments Post a Comment

There are drug-free options to dealing with chronic muscle and joint pain
Posted by: Prof/Dr Rothbart
Apr 19, 2009
Thank you for reporting on this important issue. There is a drug-free option to permanently eliminate chronic muscle and joint pain. The book, Forever Free From Chronic Pain, written for the chronic pain sufferer, summarizes 40 years of research and clincal practice that led to the discovery of a previously unknown cause of chronic muscle and joint pain. The book also discusses the therapy developed to eliminate it permanently without the use of drugs or surgery. The doctor who made this ground breaking discovery and developed this innovative treatment suffered from chronic pain himself for 10 years. It was his own pain and that of his patients that led him drove him to find a solution that has allowed himself and thousands of others get their life back. You can sign up for a free chapter of the book by signing up for the newsletter at: http://www.foreverfreefromchronicpain.com.
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