Terminology of chronic pain published

February 9, 2016

The Journal of Pain Research has published the commentary "Terminology of chronic pain: the need to "level the playing field".

As corresponding author Dr John F. Peppin says "Terminology matters, yet little attention has been paid to the terms we use to categorize and diagnose our . 'Chronic cancer ' and 'chronic non-cancer pain' are replete in the literature; however, the distinction here is actually obscure. A patient with pain from a cancer etiology has no different physiology than a patient with pain of non-cancer etiologies. These terms are primarily philosophically based, rather than medical and physiologic. Pain mechanisms do not discriminate between cancer and non-cancer in pathophysiology. Therefore, we suggest that the terminology be changed to help us to better understand and treat all of our chronic pain patients who are suffering."

Dr Peppin continues "Perhaps a more prudent, less emotionally and philosophically charged set of terms would indicate the origin and generator of the pain, e.g., a patient with chest wall pain from radiation due to breast cancer would be labelled, 'Chronic pain of breast cancer radiation treatment origin'."

As Dr Richard Robinson, Associate Editor, explains "This article addresses a timely and controversial topic in a thoughtful, as well as thought provoking, manner."

Explore further: Chronic pain changes our immune systems

More information: John Peppin et al. Terminology of chronic pain: the need to "level the playing field", Journal of Pain Research (2016). DOI: 10.2147/JPR.S99629

Related Stories

Chronic pain changes our immune systems

January 28, 2016
Chronic pain may reprogram the way genes work in the immune system, according to a new study by McGill University researchers published in the journal Scientific Reports.

Many suffer chronic pain after breast cancer surgery, study finds

January 22, 2013
(HealthDay)—About one-quarter of women who've had breast cancer surgery have significant and persistent breast pain six months after the procedure, a new study finds.

Long-term opioid therapy relieves chronic pain in only 20 percent of women

October 8, 2015
Women, and especially younger women, are much less likely than men to have good relief of chronic, non-cancer pain with long-term opioid use, with only one in five women reporting low levels of pain and high levels of function ...

Study identifies factors associated with pain one year after breast cancer surgery

December 31, 2013
In a study that included more than 800 women who had undergone surgery for breast cancer, the majority reported some level of pain 12 months after surgery, and factors associated with pain included chronic preoperative pain, ...

One in 3 women could potentially be spared chronic pain after breast cancer surgery

February 25, 2015
One in every three women undergoing a mastectomy could potentially be spared chronic post-operative pain if anesthesiologists used a regional anesthetic technique in combination with standard care, according to a new study.

Autosomal dominant polycystic kidney dz pain often refractory

May 9, 2015
(HealthDay)—The etiology of pain in autosomal dominant polycystic kidney disease is complex, and management of pain should be approached in a stepwise manner, according to a review published in the May issue of The Journal ...

Recommended for you

Drug therapy from lethal bacteria could reduce kidney transplant rejection

August 3, 2017
An experimental treatment derived from a potentially deadly microorganism may provide lifesaving help for kidney transplant patients, according to an international study led by investigators at Cedars-Sinai.

Exploring the potential of human echolocation

June 25, 2017
People who are visually impaired will often use a cane to feel out their surroundings. With training and practice, people can learn to use the pitch, loudness and timbre of echoes from the cane or other sounds to navigate ...

Team eradicates hepatitis C in 10 patients following lifesaving transplants from infected donors

April 30, 2017
Ten patients at Penn Medicine have been cured of the Hepatitis C virus (HCV) following lifesaving kidney transplants from deceased donors who were infected with the disease. The findings point to new strategies for increasing ...

'bench to bedside to bench': Scientists call for closer basic-clinical collaborations

March 24, 2017
In the era of genome sequencing, it's time to update the old "bench-to-bedside" shorthand for how basic research discoveries inform clinical practice, researchers from The Jackson Laboratory (JAX), National Human Genome Research ...

The ethics of tracking athletes' biometric data

January 18, 2017
(Medical Xpress)—Whether it is a FitBit or a heart rate monitor, biometric technologies have become household devices. Professional sports leagues use some of the most technologically advanced biodata tracking systems to ...

Financial ties between researchers and drug industry linked to positive trial results

January 18, 2017
Financial ties between researchers and companies that make the drugs they are studying are independently associated with positive trial results, suggesting bias in the evidence base, concludes a study published by The BMJ ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.