Pain Disease

Abstract

Pain is The 5th Vital Sign, by Journalist and writer: Marni Jackson (Book-June2002) Although Pain is the most common symptom that leads the patient to doctors (Nilges Traue 2007) but Pain is not the problem but chronicity. A. Nachemson, 1998. Definition of chronicity is not only duration of pain and in the other hand the chronic pain differs from chronic pain syndrome. Chronic pain is the pain which persists for 3, 6 or more months after the initial lesions. For example a patient with trigeminal neuralgia has several years' facial pain and he improves after MVD. Chronic pain syndromes are a relatively new concept in our understanding of pain. That are rarely recognized or diagnosed as a separate clinical entity among healthcare professionals. In 1936 SAUERBRUCH, WENKE wrote...to discover the singularity of the pain disease “Algo patients”, on which the pain is obviously not a symptom besides others but on which the pain is the real disease - without any unknown physical cause. The character and importance of pain written by FERDINAND SAUERBRUCH and HANS WENKE 1961) chronic pain as a disease? When acute pain becomes chronic pain? And when pain disease?) Functional somatic symptoms are presented with pain, disability, suffering and less organic interference .Clear vision of patients about "their" disease in contrary to the lack of scientific and somatic explanations. (Mohadjer 2012). Chronic pain syndromes (pain disease) must be considered as a psychologic-physiologic disability. The understanding and treatment of pain disease comprises a new medical disease model; however, some of the original symptoms are considered to have an underlying organic pathology. Recognition of the need for differentiation between the various forms of pain is paramount to the success of the treatment process. Such evaluation is necessarily interdisciplinary. An early complete history and physical examination are the basis from which the physician draws logical conclusions about the patient to prevent progression. The long-range solution lies in a dynamically structured, progressive physical and mental reactivation program implemented by a highly trained interdisciplinary team of professionals using a holistic approach.