Abstract

♦ The origin, transmission, and reception of chronic pain is not easy to understand♦ The perception of pain is altered by mood and itself alters mood. There is, therefore, a close link between chronic pain and depression♦ Although pain is subjective, pain scales and diaries can be used to provide reproducible measures of pain♦ The choice of method of pain control is not simply a ladder. New stronger agents need to be added in, not substituted for weaker ones♦ Neuropathic pain will require unconventional analgesics in combination.

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