Pain control

  • Dina Penrose
Part of the Therapy in Practice Series book series (TPS)


Pain may be classified into three types: intermittent, acute and chronic. The orthopaedic patient is prone to all three types to some degree, and while the orthopaedic surgeon can abolish or relieve pain in many situations, a significant number of patients have to learn to live with their pain. Such is the nature of the pain of rheumatoid arthritis, metastatic bone disease, phantom pain following amputation and some back pain. There also arises the situation where a patient admitted for joint replacement is found to be medically unfit for surgery, and is discharged still in pain. With these cases there is clear physiological reason for the pain.


Chronic Pain Occupational Therapist Pain Behaviour Pain Clinic Chronic Pain Syndrome 
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  1. Brena, S.F. (1978) Chronic Pain: America’s hidden epidemic, Athenium SMI, New York.Google Scholar
  2. Broome, A. and Jellicoe, H. (1987) Living with Pain, British Psychological Society/Methuen, London.Google Scholar
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Further Reading

  1. Giles, G.G. and Allen, M.E. (1986) Occupational therapy in the treatment of the patient with chronic pain, British Journal of Occupational Therapy, January, 4–8.Google Scholar
  2. Melzack, R. and Dennis, S.G. (1978) Neurophysiological foundations of pain, in R.A. Sternbach (ed.) The Psychology of Pain, Raven Press, New York.Google Scholar
  3. Rogers, S.R., Shuer, J. and Herzig, S. (1984) Use of feedback techniques for persons with chronic pain, in P. Cromwell (ed.) Occupational Therapy and the Patient with Pain, Haworth Press, New York.Google Scholar
  4. Strong, J. (1987) Chronic pain management: the occupational therapist’s role, British Journal of Occupational Therapy, August, 262–3.Google Scholar

Copyright information

© Dina Penrose 1993

Authors and Affiliations

  • Dina Penrose
    • 1
  1. 1.Head Occupational TherapistRoyal Orthopaedic HospitalBirminghamUK

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