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Chronic Pain
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What is chronic pain :
What is chronic pain?
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Pain management approaches :
Learning about pain management
NHS Pain Management Programmes
Exercise and activity
Pain management: pacing and goal setting
Pain management: relaxation and distraction
Coping with flare-up
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Introduction: medication and side effects
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Medication: strong opioids
Medication: other analgesics and muscle relaxants
Medical treatments and pain clinics
Decisions about surgery
Living with chronic pain :
Coming to terms with pain
Coping with the emotional impact of pain
Sleep, stress and environmental factors
Everyday activities and daily routines
Walking aids, wheelchairs and adaptations
Impact on the family
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Chronic Pain
Subject index
Clip
Chronic health issues
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Chronic Pain
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Age 61-80
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Interview CP48
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Explained that the people on the pain management programme all had chronic pain for different reasons but they still gelled.
Pain following myelogram (test) for disc damage in 1978. Diagnosed Arachnoiditis 1992. Pain management: In-patient NHS pain management programme. Current medication: None.
Chronic health issues
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Chronic Pain
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Age 61-80
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Interview CP48
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Was told at pain management that exercise is not going to make you worse because chronic pain is due to damage in the pain system.
Pain following myelogram (test) for disc damage in 1978. Diagnosed Arachnoiditis 1992. Pain management: In-patient NHS pain management programme. Current medication: None.
Chronic health issues
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Chronic Pain
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Age 41-60
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Interview CP11
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Was assessed before going on a pain management programme to make sure he was going to benefit.
Back pain since motorbike accident in 1994. Pain management: Out patient NHS pain management programme. Current medication: Occasionally uses anti-inflammatory drugs.
Chronic health issues
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Chronic Pain
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Age 61-80
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Interview CP48
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While he was at the pain management programme he set, worked towards and achieved his goal of climbing a small mountain.
Pain following myelogram (test) for disc damage in 1978. Diagnosed Arachnoiditis 1992. Pain management: In-patient NHS pain management programme. Current medication: None.
Chronic health issues
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Chronic Pain
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Age 61-80
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Interview CP48
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Was told on the pain management programme that relaxation and exercise produce natural pain relieving chemicals.
Pain following myelogram (test) for disc damage in 1978. Diagnosed Arachnoiditis 1992. Pain management: In-patient NHS pain management programme. Current medication: None.
Chronic health issues
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Chronic Pain
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Age 41-60
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Interview CP11
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Was advised to take bed rest but found it made the pain worse and that gentle exercise helped.
Back pain since motorbike accident in 1994. Pain management: Out patient NHS pain management programme. Current medication: Occasionally uses anti-inflammatory drugs.
Chronic health issues
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Chronic Pain
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Age 41-60
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Interview CP01
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Describes how she copes with her flare-ups and stresses that it is important to make sure you don't lose mobility.
Diagnosed with Lupus, 1983. Treatment: Regularly attends rheumatology clinic. Pain management: Pain Association Scotland Living with Pain course. Current medication: co-dydramol, prednisolone - steroid for flare-up. Past medication: dihydrocodeine
Chronic health issues
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Chronic Pain
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Age 20-30
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Interview CP02
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Her powered wheelchair allows her to achieve daily activities such as shopping so she can save her energy for her social life.
Multiple tests all negative. Diagnosed with Fibromyalgia, 1996. Pain management: In-patient NHS pain management programme. Current medication: tramadol, amitriptyline, sertraline. Past medication: ibuprofen, paracetamol, diazepam
Chronic health issues
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Chronic Pain
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Age 41-60
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Interview CP14
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Advises people to stretch every morning and try swimming or even just walking in the water as exercise.
Back pain following injury at work 1994. Myofascial pain syndrome. Treatments: Hydrotherapy and Biofeedback. Current medication: None.
Chronic health issues
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Chronic Pain
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Age 20-30
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Interview CP02
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Paces herself by prioritising when she is going to walk and when she is sitting uses a buzzer to remind her to stretch.
Multiple tests all negative. Diagnosed with Fibromyalgia, 1996. Pain management: In-patient NHS pain management programme. Current medication: tramadol, amitriptyline, sertraline. Past medication: ibuprofen, paracetamol, diazepam
Chronic health issues
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Chronic Pain
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Age 41-60
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Interview CP03
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Attended hydrotherapy which he found very helpful because water supports your body weight and gives resistance to the exercises.
Brachial plexus injury following motorbike accident in 1983. Two failed nerve operations. Treatment: Pain Clinic for TENS and nerve block. Pain management: Pain Association Scotland Living with Pain course. Current medication: co-codomal.
Chronic health issues
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Chronic Pain
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Age 41-60
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Interview CP46
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Says pain and fatigue go hand in glove but feels that it is better not sleep during the day.
Low back pain since 1993. Pain management: In patient NHS pain management programme. Current medication: None
Chronic health issues
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Chronic Pain
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Age 41-60
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Interview CP04
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Attends intensive physiotherapy where she is given manipulation in combination with exercise which she finds helpful.
Multiple tests all negative. Diagnosed with Fibromyalgia. Treatment: Physiotherapy Pain management: Pain Association Scotland Living with Pain course. Current medication: amitriptyline, quinine sulphate, diclofenac sodium (Arthrotec), co-codamol (Kapake), omeprazole (Losec).
Chronic health issues
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Chronic Pain
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Age 41-60
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Interview CP04
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Had been frightened of exercise and even movement but had been told by professionals and support groups that exercise helped.
Multiple tests all negative. Diagnosed with Fibromyalgia. Treatment: Physiotherapy Pain management: Pain Association Scotland Living with Pain course. Current medication: amitriptyline, quinine sulphate, diclofenac sodium (Arthrotec), co-codamol (Kapake), omeprazole (Losec).
Chronic health issues
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Chronic Pain
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Age 20-30
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Interview CP06
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Talks about things that make her working life easier including pacing, equipment and making sure she walks to get her lunch everyday.
Back injury/pain following car accident, 1993. Fusion stabilisation surgery 1993, Repair to broken pin, 1994, Removal of stabilisation rods and pins 2001. Pain management: Learnt through physiotherapy and Back Care charity. Current medication: Herbal anti-inflammatory.
Chronic health issues
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Chronic Pain
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Age 41-60
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Interview CP08
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Gained weight when he became less active but set himself walking targets and slowly worked up to them at his own pace.
Back pain following injury working with horses 1999. Surgery: Discectomy, 1999. Treatment: Pain Clinic for epidural steroid injection. Current medication: co-codamol (Tylex), codeine phosphate, tramadol.
Chronic health issues
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Chronic Pain
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Age 41-60
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Interview CP10
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Has learnt to gradually increase the length of time that she can walk the dog.
Neck, back and elbow pain gradual onset since 1981. Surgery: Elbow surgery. Treatments: corticosteroid injections in elbows. Pain management: Out patient NHS pain management programme. Current medication: co-proxamol occasional use, tramadol for flare-up.
Chronic health issues
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Chronic Pain
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Age 41-60
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Interview CP10
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Had been frightened that she might re injure her arm so protected it but now knows that exercise is safe and beneficial
Neck, back and elbow pain gradual onset since 1981. Surgery: Elbow surgery. Treatments: corticosteroid injections in elbows. Pain management: Out patient NHS pain management programme. Current medication: co-proxamol occasional use, tramadol for flare-up.
Chronic health issues
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Chronic Pain
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Age 41-60
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Interview CP10
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Was scared to exercise but on the pain management programme learnt how to gradually increase the exercise she does.
Neck, back and elbow pain gradual onset since 1981. Surgery: Elbow surgery. Treatments: corticosteroid injections in elbows. Pain management: Out patient NHS pain management programme. Current medication: co-proxamol occasional use, tramadol for flare-up.
Chronic health issues
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Chronic Pain
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Age 61-80
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Interview CP17
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Joined a gym which made her feel part of society again.
Back pain since 1958. Neck pain since 1993. Surgery: Laminectomy 1976, Fusion 1986, Posterior/Anterior Fusion 1992. Treatment: Epidural steroid injections. Pain management: In-patient NHS Pain Management Programme, Expert Patient Programme. Current Medication: co-proxamol (Distalgesic), diazepam.
Chronic health issues
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Chronic Pain
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Age 61-80
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Interview CP17
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Learnt simple techniques at the pain management programme that weren't earth shattering but changed her whole approach to life.
Back pain since 1958. Neck pain since 1993. Surgery: Laminectomy 1976, Fusion 1986, Posterior/Anterior Fusion 1992. Treatment: Epidural steroid injections. Pain management: In-patient NHS Pain Management Programme, Expert Patient Programme. Current Medication: co-proxamol (Distalgesic), diazepam.
Chronic health issues
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Chronic Pain
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Age 41-60
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Interview CP18
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Eventually had facet joint injections and found that they relieved her pain for two weeks and she could resume normal activity.
Back pain since car accident, 1978. Treatments: Facet joint injections, TENS. Current Medication: dihydrocodeine, co-proxomol, buprenorphine (Temgesic) for flare-up, diazepam for muscle spasms. Past medication: Diclofenac.
Chronic health issues
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Chronic Pain
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Age 31-40
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Interview CP20
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Found back exercise classes very helpful and has been able to continue with the exercise at the gym.
Abdominal/ Pelvic pain since 1992, Back pain since 1991. Surgery: Laparoscopy followed by Hysterectomy. Treatment: Epidural injection for sciatica. Facet joint injections. Pain management: Exercise classes for back pain. Medication: imipramine for pelvic pain, co-codamol for back pain.
Chronic health issues
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Chronic Pain
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Age 61-80
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Interview CP22
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Was referred to a health centre on a new scheme set up between primary care and leisure services.
Multiple sclerosis (1962) with nerve pain since (1983). Treatment: Neuro physiotherapy for MS Waiting for a lignocaine infusion trial. Current medication: gabapentin (stopped since interview).
Chronic health issues
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Chronic Pain
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Age 41-60
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Interview CP46
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Had an MRI and was told he had degeneration in his spine and became frightened of moving which he now knows is the wrong thing to do.
Low back pain since 1993. Pain management: In patient NHS pain management programme. Current medication: None
Chronic health issues
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Chronic Pain
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Age 41-60
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Interview CP29
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Recognises that medical understanding has moved on and that prolonged bed rest is no longer recommended.
Back pain since, 1990. Surgery: Discectomy 1990, Discectomy 1991, Spinal stabilisation 1997, Bone fusion 2003. Treatment: Epidural steroid injections. TENS. Pain management: Going on Expert Patient Programme. Current medication: morphine, codeine, tramadol. Past Medication: fentanyl.
Chronic health issues
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Chronic Pain
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Age 61-80
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Interview CP30
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On the pain management programme he was initially reluctant to join in and exercise but when he saw an improvement was more enthusiastic.
Back pain since 1970s. Surgery: Removal of benign tumor 1983. Treatments: Spinal injections. Pain management: Out-patient NHS patient pain management programme. Current medication: None.
Chronic health issues
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Chronic Pain
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Age 61-80
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Interview CP30
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Set a goal of going on a walking holiday and managed to achieve it by gradually increasing his walking tolerance.
Back pain since 1970s. Surgery: Removal of benign tumor 1983. Treatments: Spinal injections. Pain management: Out-patient NHS patient pain management programme. Current medication: None.
Chronic health issues
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Chronic Pain
>>
Age 61-80
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Interview CP44
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Learnt some exercises from a book and has also been swimming to a special session for people with disabilities.
Pain since 1978. Psoriatic Arthritis, Inflammatory Arthritis. Treatments: Epidural steroid injections. Hydrotherapy. Current medication: co-proxamol (Distalgesic), methotrexate, hydroxychloroquine sulphate (Planquenil), dihydrocodeine for flare-up.
Chronic health issues
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Chronic Pain
>>
Age 41-60
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Interview CP36
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Used to just go to bed when she had a flare-up but now keeps active by pottering about and doing gentle yoga.
Back pain since 1989 (in remission at time of interview). Treatment: Physiotherapy, ultrasound, mobilisation. Pain management: Outpatient NHS Pain management programme. Current medication: None. Past medication: ibuprofen, co-proxamol, diazepam.
Chronic health issues
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Chronic Pain
>>
Age 41-60
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Interview CP36
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Learnt, on a pain management programme, how negative thoughts and stress affect her pain and was surprised when relaxation helped.
Back pain since 1989 (in remission at time of interview). Treatment: Physiotherapy, ultrasound, mobilisation. Pain management: Outpatient NHS Pain management programme. Current medication: None. Past medication: ibuprofen, co-proxamol, diazepam.
Topic
Chronic health issues
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Chronic Pain
>>
Exercise and activity
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Exercise and activity
Exercise and activity
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