oa South African Family Practice - Pain management in primary care - current perspectives : CPD

Volume 49, Issue 7
  • ISSN : 2078-6190
  • E-ISSN: 2078-6204



According to a 1998 of 26 000 primary care patients on five continents, 22% reported over the past year. Part of the problem lies with some health-care providers who have failed to keep up with the advances in pain medicine and continue to follow the , which regards a specific pathway as the only source of pain. In this model, all pain is regarded as a warning signal of tissue injury, and if conservative treatment fails, some surgical technique will be able to correct the problem.

The modern paradigm of pain management has moved from this to the broader , where pain mechanisms now integrate input from sensory, emotional and cognitive systems.

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