Understanding and managing patients with chronic pain
Richard P Szumita1, Paul M Szumita, Nancy Just
1Oral and Maxillofacial Surgery Residency Training Program, St Joseph's Regional Medical Center, 703 Main Street Paterson, NJ 07503, USA. szumitar@sjhmc.org
This review offers clinical insights for managing chronic pain in oral and maxillofacial surgery patients, emphasizing the link between pain and psychology. It covers pain neurophysiology, conditions, psychological effects, and multimodal treatments.
Area of Science:
- Oral and Maxillofacial Surgery
- Pain Management
- Psychology
Background:
- Anesthesia and pain control are foundational to oral and maxillofacial surgery.
- Chronic pain presents unique challenges for both patients and surgeons.
- Understanding the psychological component is crucial for effective patient care.
Purpose of the Study:
- To provide clinical pearls for managing chronic pain in oral and maxillofacial surgery patients.
- To review the neurophysiology and definitions of pain.
- To highlight the interplay between chronic pain and psychology in this patient population.
Main Methods:
- Review of pain neurophysiology.
- Definition and classification of pain conditions.
- Examination of psychological impacts and comorbidities.
- Discussion of multimodal treatment strategies.
Main Results:
- Comprehensive overview of chronic pain conditions relevant to oral and maxillofacial surgery.
- Detailed analysis of the psychological factors influencing chronic pain.
- Exploration of integrated approaches for pain management.
Conclusions:
- Effective management of chronic pain in oral and maxillofacial surgery requires a multidisciplinary approach.
- Integrating psychological support alongside medical treatment is essential.
- Enhanced understanding of pain mechanisms and patient psychology improves surgical outcomes.
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