Abstract
The Sri Lanka Journal of Psychiatry (SLJP) is a peer-reviewed, open access journal published bi annually by the Sri Lanka College of Psychiatrists.The Journal publishes original papers, brief reports including case reports and commentaries relevant to psychiatry and allied sciences. The Sri Lanka Journal of Psychiatry is committed to maintaining and conforming to the editorial and ethical standards recommended by the International Committee of Medical Journal Editors.Cover: Doorways: When one is ill, having somewhere to stay, where one is looked after, is usually a relief to the patient who is not well and his/her family. The picture shows the doorway to what remains of an ancient hospital in Mihintale, said to date back two millennia. Thilini Rajapakse, Department of Psychiatry, Faculty of Medicine, University of Peradeniya, Sri Lanka.
Highlights
Pain is probably the most frequent source of human distress. It is the most common reason for seeking medical care and it has been estimated that 80% of medical consultations include a component of pain
Neurogenic or neuropathic pain is due to damage or malfunctioning of nerves and central pain is due to dysfunction of perception
Acute pain is pain that lasts within a specified time frame for a given condition and chronic pain is pain that persists beyond the time one would expect normal healing to occur (2)
Summary
Summary A serviceman seriously injured in battle after recovery from his initial injuries developed severe stabbing pain in his left leg. The pain was persistent, distressing and caused significant functional impairment. The pain failed to remit with pharmacotherapy which included sub cutaneous morphine. At the time of referral the pain had lasted 18 months. The patient was treated with six sessions of cognitive behavioural therapy with significant reduction of his pain. On follow-up, he was pain free and functioning almost normally. The principles of psychological management of pain are discussed
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