I was searching for an article that I downloaded in a .pdf format last year and found this wonderful article. It's a little old, published in the April 2005 issue of the Journal of Arthritis & Rheumatism, but I thought it gave an excellent explanation of all the processes involved in pain. It also gets into the processes involved in turning regular pain into chronic pain.
What really caught my eye was this statement, in the section regarding the treatment of the pain.
"To date, pharmacologic treatments, such as simple analgesics and nonsteroidal antiinflammatory drugs, have been the main focus of rheumatology pain management. Rheumatologists, in general, are not experienced in the management of chronic pain beyond this simple paradigm."
This is exactly why I think it's so important that those of us suffering with joint/back pain that is not being effectively treated by our Rheumies or Orthos need to seek help from a qualified Pain Mgmt Doc.
The article is a little technical and filled with all sorts of medical jargon, but it's quite good.
Here's a link to the article. http://www3.interscience.wiley.com/cgi-bin/fulltext/112166113/HTMLSTART
Keah a.k.a. Wormy
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