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.
KeywordsPlacebo Arthritis Depression Morphine Noradrenaline
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- Brena, S.F. (1978) Chronic Pain: America’s hidden epidemic, Athenium SMI, New York.Google Scholar
- Broome, A. and Jellicoe, H. (1987) Living with Pain, British Psychological Society/Methuen, London.Google Scholar
- Cailliet, R. (1988) Low Back Pain Syndrome, 4th edn, F.A. Davis, Philadelphia.Google Scholar
- Chaitow, L. (1985) Your Complete Stress-Proofing Programme, Thorsons Publishing Group, Wellingborough.Google Scholar
- Hanna, M. (1988) Management of chronic pain, in C.J. Goodwill and M.A. Chamberlain (eds.) Rehabilitation of the Physically Disabled Adult, Part II, Croom Helm/Sheridan Medical, London.Google Scholar
- Jayson, M.V. (1987) Back Pain: The facts, 2nd edn, Oxford Medical Publications, Oxford.Google Scholar
- Melzack, R. and Wall, P.D. (1988) The Challenge of Pain, Penguin Books, Harmondsworth.Google Scholar
- 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
- 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
- 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
- Strong, J. (1987) Chronic pain management: the occupational therapist’s role, British Journal of Occupational Therapy, August, 262–3.Google Scholar