All too often in office-based practice, treatment of pain is secondary to diagnosis and treatment of the disease state. This is unfortunate because pain, especially chronic pain, is among the most disabling and costly medical problems in Western countries (1). Patients suffering with chronic diffuse pain who lack objective clinical and laboratory findings (e.g., fibromyalgia) frequently are dismissed as not having “real” pain, which only perpetuates their illness. Presence of pain should be specifically sought and evaluated in all patients and, if present, relief of pain should be a primary focus of the physician’s efforts. Indeed, pain should be addressed as a disease entity, not as a sensory entity (2).
KeywordsChronic Pain Neuropathic Pain Irritable Bowel Syndrome Complex Regional Pain Syndrome Chronic Pain Syndrome
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