Study: Things everyone already knows about pain




Hey folks,

This is a pretty dumb study, right up there with "why prisoners want to
escape from prison." I'm thinking maybe we should write Mr. Boggs (the story
writer) about what you can expect if you do go to a doctor complaining of
chronic pain. Anyone else want to comment?

http://today.reuters.com/HelpAndInfo/ContactUs.aspx

Be Well--og


Pain patients often suffer in silence
By Will Boggs, MDFri Feb 24, 1:29 PM ET

More than 20 percent of patients with chronic pain do not seek physician
care for their pain, according to a report.

"We need to get over what for many people appeared to be the 'don't ask,
don't tell' mentality about chronic pain," Dr. Barbara P. Yawn from Olmsted
Medical Center, Rochester, Minnesota told Reuters Health.

Among 3575 individuals who responded to a mailed questionnaire, 2302
reported having chronic pain and 2221 answered relevant questions. The
investigators found that 497 of these patients (22.4 percent) said that they
had not informed their doctors about their pain.

Of these silent pain sufferers, 70.6 percent had moderate or severe pain,
48.9 percent had pain for eight days or more per month, and 40.6 percent met
both of these criteria.

About one quarter of them reported at least moderate interference with
general activity and sleep, the results indicate. Vocal pain sufferers were
more likely to report interference with general activity and sleep.

The survey showed that 78.9 percent of the silent sufferers used
over-the-counter pain medications (compared with 56.3 percent of vocal
sufferers), but only 5 percent used prescribed pain medications (compared
with 35.2 percent of vocal sufferers).

Silent sufferers made fewer health care visits per year than their vocal
counterparts (5.2 vs 8.6), the report indicates.

Educational and employment status had little impact on whether patients were
silent or vocal about their pain. Men were more likely to be silent than
women, the investigators say, and younger patients were more likely to be
silent than older patients.

"I think we need to reassure our patients (probably by example) that we will
listen to concerns about chronic pain and take those concerns seriously,"
Yawn said, and "that we do have alternatives to the 'stronger' pain
medications that can cause side effects and have the potential for
addiction."

"I think it is important to determine if the chronic pain is interfering
with work, play, or sleep and if it is, try to help," Yawn commented. "We
also need to know when patients are able to deal with the pain on their own
and don't need us--but I would prefer they have the confidence to ask us
when it is interfering with activities they want to do."

SOURCE: Mayo Clinic Proceedings, February 2006.




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