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

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Chronic pain in primary care

Smith, B. H·1999·Family Practice

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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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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 › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
Health Sciences › Medicine › Physiology (medical) › 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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