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Chronic health issues
Chronic Pain
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What is chronic pain :
What is chronic pain?
Search for a cause and diagnosis
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
Managing, taking and stopping medication
Medication: antidepressants and antiepileptics
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
Parenting, children and grandchildren
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Impact on friends and reaction of others
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Chronic Pain
Subject index
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Chronic health issues
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Chronic Pain
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Age 20-30
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Interview CP19
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Was referred to a psychologist who helped her understand how stress increased her pain and taught her pacing and breathing.
Pelvic pain since menstruation, 1992 and back pain. Treatment: Laser laparoscopy. Medication to suppress periods. Pain management: One-to-one psychology. Current Medication: co-codamol (Tylex), sodium diclofenac (Voltarol), amitriptyline and morphine for flare-up.
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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Used to batch cook meals and freeze them so that her family always had a meal.
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 61-80
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Interview CP48
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Feels he is not a natural pacer but knows that it is better to pace than end up in pain.
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 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 CP07
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Learnt to manage her pain through a support group and several self-management books that she found extremely helpful.
Back pain since 1981. Failed back surgery syndrome. Diagnosed with Arachnoiditis, 2001. Surgery: laminectomy, correction of laminectomy and spinal fusion. Pain management: Learnt through support group and books. Current medication: distalgesic, co-proxamol, maprotoline, oxycodone (Oxycontin) during recent flare-up.
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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Explains how to work out a baseline of how long you can do something for before the pain increases.
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 CP08
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Says you have to be ruthless on good days and do the things that you want to do.
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 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
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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 CP03
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Finds he can achieve jobs by doing them over a few days but saves jobs that need to be done in one go for good days.
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 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 41-60
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Interview CP04
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Describes how she prepares for a special occasion.
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 CP11
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Breaks up long car journeys and when his pain is bad drives on smaller roads so he can stop easily.
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 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
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Age 41-60
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Interview CP12
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Learnt to manage her pain by going on a self-management programme run by the support group Pain Association Scotland.
Multiple tests all negative. Diagnosed with Fibromyalgia, 2002. Pain management: Pain Association Scotland Living with Pain course. Current Medication: Occasionally uses co-codamol.
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 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 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
>>
Age 41-60
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Interview CP12
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Feels it is important to prioritise important jobs and accept that it is not the end of the world when things don't get done.
Multiple tests all negative. Diagnosed with Fibromyalgia, 2002. Pain management: Pain Association Scotland Living with Pain course. Current Medication: Occasionally uses co-codamol.
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
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