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Medical Glossary
Chronic Pain 1998 - Article References & Abstracts

Volume 5, Issue 1 July 1999
CHRONIC PAIN 1998
Full text articles and references are available by subscription.

PRACTICE POINTS:

3 months after soft tissue injury, Independent Medical Examination of the client can no longer establish medical or legal causation of chronic pain

In chronic benign pain originating after soft tissue injury, causation is established by expert analysis of the pre-injury and post-injury medical records, not by examination of the client

Arguments between medical experts about the duration of healing from physical injury are irrelevant to chronic pain litigation

Components of Multidisciplinary Therapy

1. progressive muscular relaxation
2. goal setting
3. pacing
4. group cognitive therapy
5. pain education
.....a. physiology
.....b. pharmacology
6. progressive physiotherapy

Criteria for therapeutic success

1. improved mood
2. reduced catastrophising*
3. physical performance
4. overall function
5. use of drug treatment

*making mountains out of molehills

Related Articles available to subscribing members:

Chronic Pain 1994 (Medical Litigation News) Volume 1, Issue 7
Chronic Pain 1995-6 (Medical Litigation News) Volume 2, Issue 10
Chronic Pain 1997 (Medical Litigation News) Volume 3, Issue 9
Chronic Pain 1997 (Fibromyalgia News) Volume 1, Issue 4
Chronic Pain 1998 (Personal Injury News) Volume 5, Issue 1

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