Current Review of Pain

, Volume 4, Issue 1, pp 36–48

Comorbidity of post-traumatic stress disorder and chronic pain: Implications for clinical and forensic assessment

  • Ronald J. Kulich
  • Peter Mencher
  • Caeri Bertrand
  • Raymond Maciewicz
Article

DOI: 10.1007/s11916-000-0008-4

Cite this article as:
Kulich, R.J., Mencher, P., Bertrand, C. et al. Current Review of Pain (2000) 4: 36. doi:10.1007/s11916-000-0008-4

Abstract

A summary of the current state of science is presented with reference to post-traumatic stress disorder (PTSD) and pain. Historical development of the diagnosis, current nosology, epidemiology, pathophysiology, and controversies are discussed. Issues of evaluation are reviewed, with specific reference to forensic assessment.

Treatment outcome studies are briefly reviewed, with a review of currently accepted treatment interventions, including pharmacologic and behavioral modalities. An emphasis is placed on an integrated treatment plan in which chronic pain and PTSD both are present.

Copyright information

© Current Science Inc 2000

Authors and Affiliations

  • Ronald J. Kulich
    • 1
    • 2
  • Peter Mencher
    • 3
  • Caeri Bertrand
    • 5
  • Raymond Maciewicz
    • 4
  1. 1.Department of AnesthesiaTufts University, School of MedicineBostonUSA
  2. 2.Gelb Pain Center,Department of General DentistryTufts University School of Dental MedicineBostonUSA
  3. 3.Department of PsychiatryWinchester HospitalWinchesterUSA
  4. 4.Gelb Pain Center, Department of General DentistryTufts University School of Dental MedicineBostonUSA
  5. 5.PBS Medical ConsultingBostonUSA