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A Pathways Approach to Chronic Pain

  • Angele McGrady
  • Donald Moss
Chapter

Abstract

Chronic pain is a major cause of human suffering and impairment in function, affecting not only individuals, but also families, productivity in the workplace and society. Selected mechanisms involved in the transformation of acute pain into chronic debilitating pain are discussed. Two cases, one of a patient with chronic migraine and another case of a sufferer of back pain are presented in detail. The multi-level Pathways Model is applied to each case. The patient with migraine had a history of sexual abuse and met criteria for major depressive disorder. The example chosen for low back pain is that of a married man whose wife is emotionally and physically ill. He is stuck in past memories of a highly successful period of his life when he was a high school star athlete. Both patients were able to reduce pain, but perhaps even more importantly, they acquired healthier lifestyle behaviors, learned coping skills, and lessened symptoms of anxiety and depression. Although the interventions did not cure their pain, their suffering from chronic pain decreased and their ability to function in their personal world improved.

Keywords

Chronic pain Migraines Back pain Adverse life events Central and peripheral sensitization Pathways Model 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Angele McGrady
    • 1
  • Donald Moss
    • 2
  1. 1.Department of PsychiatryUniversity of ToledoToledoUSA
  2. 2.College of Integrative Medicine and Health SciencesSaybrook UniversityOaklandUSA

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