Talking to your clinician about pain
Talking to your clinician about long-term pain
Pain explained
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What is the difference between acute and chronic pain?
It's all about how long you have had the pain. Acute pain is pain which you have had for less than three months. If you have chronic pain you've had it for more than three months.
What's nociceptive pain?
This is pain that's caused by an injury outside the nervous system. This type of pain is usually caused by inflammation or damage to the muscles, bones and ligaments. It usually has a protective effect. So if you touch something hot, for example, the pain you feel tells you to move your hand away. This type of pain can be acute or chronic.
What is neuropathic pain?
This pain is caused by damage to the nerves that transmit signals to the spinal cord and brain. It's often described as shooting or burning and feeling numb, cold or weak. This type of pain is not the protective kind that you get if you injure yourself. It's often chronic pain and usually needs specialist treatment.
What is causing my pain?
Pain can have many causes. It might be the result of an injury, such as a sprain or burn. Or it might be caused by an underlying medical condition, such as arthritis. Conditions that cause nerve damage, like diabetes or multiple sclerosis, can also cause chronic pain. Getting a diagnosis that explains your pain symptoms is the best way to find a solution and a way forward.
Is my pain likely to get worse?
This depends on the underlying cause of your pain. For example, if your pain is caused by a progressive condition such as arthritis, it is likely that your pain will worsen without appropriate treatment.
Is bed rest the best thing for pain?
No. Staying active and following your usual routine as much as possible can help you manage your pain more successfully.
What if my painkillers don't ease the pain?
Make sure you're taking the right dose of your medication at the right time every day. If you are, make an appointment to see your doctor who may consider changing your treatment.
I'm worried I could get addicted to my painkillers.
Most painkillers are not addictive. Talk to your GP or pharmacist about your worries and ask them whether you might get any side effects from your medications. For more information, read the information leaflet that comes with the medicine.
Can I exercise if I have chronic pain?
Yes, and it's a good idea to try to stay active. There are lots of gentle exercises you can do, such as tai chi and yoga, which have inbuilt elements of relaxation. Ask your GP what exercise is best for you and choose a class that starts off gently.
Does chronic pain ever get better?
Yes it does. Certain conditions - neuropathic pain after shingles, for example - can go away, though it may take many months.
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