Pain and Addiction

Chapter

Abstract

Chronic pain and addiction are complex, neurobiologic diseases with distinct and overlapping pathologies. Their diagnosis, and treatment as co-existing diseases, is challenging and requires multimodal, multidisciplinary disease management. The physiology of these diseases and the positive and negative effects of opioid analgesics in their treatment are discussed. The impact of psychiatric comorbidities on outcomes is characterized. Clinical treatment paradigms are suggested.

Keywords

Pain Addiction Nociception Opioids Screening Tools “Universal Precautions” Glia Multidisciplinary treatment 

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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.Departments of Anesthesiology and PediatricsUniversity of VirginiaCharlottesvilleUSA

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