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Cited by 104Musculoskeletal pain and rehabilitationPain Management and Opioid UsePain Mechanisms and Treatments

Chronic pain in primary care

Smith, B. H·1999·Family Practice
DOI 10.1093/fampra/16.5.475
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Abstract

Chronic pain is a very common cause of suffering, disability and economic adversity in the community. It is a complex problem that needs to be understood in a multi-dimensional way for effective management. Most research to date has been based in specialist clinics rather than in primary care, with consequently limited findings. Chronic pain differs from acute pain in that management follows a rehabilitative rather than a treatment model, though these are not mutually exclusive. Full assessment of the patient, preferably multi-disciplinary, will improve his or her outlook. Management should be holistic, rigorous in the application of conventional therapies (including analgesics and physical therapy) and ready to admit an improved understanding of psychological and social techniques. There may be a role for complementary therapies. As a large proportion of chronic pain presents only in the community, there may be a role for greater primary care input to management.

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Crossref · 10.1093/fampra/16.5.475

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54 of 54 references verified0 citation errors · 0 not checkable

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  • Assessment and re-assessment are essential in all stages of managing chronic pain.

    “Assessment and re-assessment are essential in all stages of managing chronic pain, and it is important to ensure that any new treatment is given a full and proper trial, so that potentially effective treatments are often not discarded because of an incomplete trial of treatment, inappropriate timing or dose of drugs, poor medication compliance and/or mismatched patient expectations [31].”

    From Identification and Management of Chronic Pain in Primary Care: a Review (2016) · cites this paper as [31]

  • Any new treatment should be given a full and proper trial so that potentially effective treatments are not discarded because of an incomplete trial of treatment, inappropriate timing or dose of drugs, poor medication compliance and/or mismatched patient expectations.

    “Assessment and re-assessment are essential in all stages of managing chronic pain, and it is important to ensure that any new treatment is given a full and proper trial, so that potentially effective treatments are often not discarded because of an incomplete trial of treatment, inappropriate timing or dose of drugs, poor medication compliance and/or mismatched patient expectations [31].”

    From Identification and Management of Chronic Pain in Primary Care: a Review (2016) · cites this paper as [31]

  • Research has consistently demonstrated that chronic pain impact breaches multiple aspects of the self, including physical, neurological, psychological, social and spiritual concerns.

    “Research utilising a variety of methodologies has consistently demonstrated that this impact breaches multiple aspects of the self, including – but not limited to – physical, neurological, psychological, social and spiritual concerns.1”

    From New approaches towards chronic pain: Patient experiences of a solution-focused pain management programme (2014) · cites this paper as [1]

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Authors
Smith, B. H.
Affiliations
University of Aberdeen (GB)
Corresponding author
Smith, B. H
ORCID
Smith, B. H
Venue
Family Practice
Publisher
Oxford University Press (OUP)
Published
1999-10-01
Volume
16
Issue
5
Pages
475-482
ISSN
  • 0263-2136 (ISSN-L)
  • 1460-2229
DOI
10.1093/fampra/16.5.475
OpenAlex
W2096803815
Cited by
104
References
55
Citations by year
2026: 1 · 2025: 1 · 2023: 3 · 2022: 2 · 2021: 1 · 2020: 4 · 2019: 2 · 2018: 1 · 2017: 4 · 2016: 4 · 2015: 3 · 2014: 4 · 2013: 10 · 2012: 5
FWCI
2.39
Type
journal article
Language
en
Open access
closed
Locations
  • Family Practice (publishedVersion)
  • PubMed (publishedVersion)
  • Discovery Research Portal (University of Dundee) (publishedVersion)
Topics
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
  • Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
  • Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
Keywords
chronic pain, primary care, pain management, rehabilitation, multidisciplinary assessment, holistic care, analgesics, physiotherapy, psychological techniques, social factors, complementary therapy, disability, economic burden
MeSH terms
Complementary Therapies, Chronic Disease, Humans, Pain, Pain Measurement, Primary Health Care

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