"Our duty to patients with chronic pain is not to reduce pain intensity, but to improve their quality of life." journals.lww.com/pain/Citation/…
@PhysioMeScience My understanding is that patients want pain control, functional restoration and quality of life. I think we make a mistake if we think chronic pain is not modifiable. It is for many - have we given up on pain control? And I don’t mean drugs.
@PeteOSullivanPT @PhysioMeScience Yes I find all this ignore pain rhetoric really odd. It is like writing "must we reduce blood pressure to treat hypertension?"
@PeteOSullivanPT @PhysioMeScience It’s a misconception that pain reduction is required for functional improvement. 30 million adults in US report daily moderate to severe pain and no functional interference. Most people with chronic pain maintain good function with pain
@PeteOSullivanPT @kjartanfersum @PhysioMeScience As someone living 12 years with chronic pain, I've found it completely modifiable/controllable. Do I have still have pain? Yes. But I'm able to live well despite, it.
@PeteOSullivanPT @PhysioMeScience How about a bit of reverse thinking and dealing more with the problems (below waterline) the persistent pain is giving us, which in turn can/could reduce the pain?
@PeteOSullivanPT @PhysioMeScience Agree, but isn't there a difference between reducing and self-controlling pain. Two parts of the same, but I guess both may affect each other and both are fundamental in our philosophy. The latter being more aligned with both self-management and public level HC sustainability?
@PeteOSullivanPT @DerekGriffin86 @PhysioMeScience Absolutely agree Peter, all pain is potentially modifiable. This doesn’t mean to say that this it is easy but I do sincerely believe that everybody with pain deserves the opportunity to try to change their situation.
@PeteOSullivanPT @PhysioMeScience “Reducing pain” and “improving func/QoL” is often perceived or made to believe as having an either/or dichotomous relation. And this approach is often unhelpful.
@PeteOSullivanPT @PhysioMeScience I feels like chronic pain is used as an excuse to give up on patients. Sad times
@PeteOSullivanPT @PhysioMeScience sir, can tnf-alpha changes can be evaluated seperately
@PeteOSullivanPT @kjartanfersum @PhysioMeScience Agree. There is a lot of evidence that "chronic" pain is not forever. People with long-lasting pain can improve on pain measures