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Author Spotlight: Methodologies and Advancements of Chronic Pain Management Research
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Author Spotlight: Methodologies and Advancements of Chronic Pain Management Research

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Veterans and chronic pain.

Jeremy Gauntlett-Gilbert1, Sarah Wilson1

  • 1Bath Centre for Pain Services & Department of Psychology, University of Bath, Bath, UK.

British Journal of Pain
|October 31, 2015
PubMed
Summary
This summary is machine-generated.

Musculoskeletal issues are a leading cause of discharge for British armed forces members. Pain management clinicians need specialized training to effectively treat veterans, addressing complex needs like PTSD and TBI.

Keywords:
Back painchronic painheadachelow back painpain managementphantom limb

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Area of Science:

  • Military medicine
  • Pain management
  • Veteran health

Background:

  • Musculoskeletal problems are the primary reason for medical discharge in the British armed forces, often being chronic and treatment-resistant.
  • Pain is prevalent in veterans with severe injuries (polytrauma), frequently co-occurring with post-traumatic stress disorder (PTSD) and traumatic brain injury (TBI) or postconcussive syndrome.
  • While PTSD and alcohol misuse are common in veterans seeking chronic pain treatment, most veterans do not experience these issues.

Purpose of the Study:

  • To highlight the challenges in treating musculoskeletal problems and pain in veterans.
  • To emphasize the need for specialized training for pain clinicians treating veterans.
  • To improve engagement and treatment outcomes for veterans with chronic pain and associated conditions.

Main Methods:

  • Review of common conditions leading to medical discharge in armed forces personnel.
  • Analysis of comorbidity in veterans experiencing chronic pain, including PTSD and TBI.
  • Identification of training needs for pain clinicians to better serve the veteran population.

Main Results:

  • Musculoskeletal problems represent the most frequent cause of medical discharge from the British armed forces.
  • Chronic pain in veterans is often linked with polytrauma, PTSD, and TBI.
  • Targeted training for pain clinicians can enhance veteran care, addressing military-specific needs and associated mental health challenges.

Conclusions:

  • Pain clinicians require specific training to effectively manage veterans' unique health needs.
  • Training should encompass military culture, veteran stereotypes, and the assessment/referral of PTSD and alcohol problems.
  • Improved clinician understanding and support are crucial for successful veteran treatment and engagement.