News Video | Policy | GPs | Hospitals | Medical | Mental Health | Welfare | Search

 


Chronic pain after surgery

Sunday May 4, 2014

Chronic pain after surgery – who is at risk and can it be prevented?

Persistent pain after common surgery affects up to 50 per cent of patients but it should soon be possible to identify those most at risk and prevent this debilitating complication, a meeting of pain medicine specialists heard today.

Procedures that carried the highest incidence of patient reports of persistent post-operative pain were procedures with an inherent high risk of nerve lesion like amputations, thoracic surgery and breast cancer surgery, Professor Audun Stubhaug told the Australian and New Zealand’s College of Anaesthetists’ Faculty of Pain Medicine Refresher Course Day meeting, “Pain at the Cutting Edge: Surgery and Pain“. Although the majority experience mild, and moderate pain, a considerable proportion get disabling pain affecting their daily life.

Leading international pain medicine specialist Professor Stubhaug, from the department of pain management and research at Oslo University Hospital in Norway, said several risk factors for the development of post-surgical chronic pain had already been identified. These included psychosocial and genetic factors as well as whether the patient experienced pain at the time of the operation – whether related to the surgery or another condition.

Chronic post-surgical pain, defined as pain that lasts at least three months after surgery and where other causes for the pain have been excluded, was a complex syndrome that had environmental, genetic and psychological influences.

Professor Stubhaug said recent studies of twins have indicated there is a 50 per cent genetic factor in the development of migraine, headache and chronic widespread pain and 35 per cent in chronic back pain.

These recent findings had boosted hope that genes increasing risk for both acute pain and the subsequent development of chronic pain can be identified and possibly guide development of new treatments.

“If we pre-operatively test for those genetic markers and other factors that we know are associated with an increased risk of chronic pain conditions we can identify those patients who will need high-intensive treatment after surgery,” he said.

© Scoop Media

 
 
 
 
 
Culture Headlines | Health Headlines | Education Headlines

 
Scoop Review Of Books: Excerpt - Ice Bear: The Cultural History Of An Arctic Icon

“During the last decade the image of the polar bear has moved in the public imagination from being an icon of strength, independence and survival in one of the most climatically extreme of world environments, to that of fragility, vulnerability and more generally of a global environmental crisis.” More>>

NZ Opera: Max Rashbrooke Reviews The Mikado

So concerns about the work of the piece have to be addressed; but they are complex, and probably better handled in another post. So what about this production itself? More>>

ALSO:

Scoop Review Of Books: The Typewriter Factory

I finished reading Don’t Dream It’s Over not long after it came out last August. I even started writing a review, which took something of an ‘I’m sorry people, but it’s already over’ approach. I’ve been pretty negative about journalism as it’s practiced in the mainstream (or MSM, or corporate media or liberal media or whatever terminology you prefer) for quite some time (see for example Stop the Press), and I believe the current capitalist media model is destructive and can’t be reformed. More>>

Sheep Update: Solo World Shearing Record Broken In Southland

Southland shearer Leon Samuels today set a new World solo eight-hours strongwool ewe-shearing after a tally of 605 in a wool shed north of Gore. More>>

ALSO:

Howard Davis Review: Dick Frizzell At The Solander Gallery

One of the most influential and celebrated contemporary Pop artists working in New Zealand, Dick Frizzell is mostly known for his appropriation of kitsch Kiwiana icons, which he often incorporates into cartoon-like paintings and lithographs. Not content with adhering to one particular style, he likes to adopt consciously unfashionable styles of painting, in a manner reminiscent of Roy Lichtenstein. More>>

Old Music: Pop Icon Adam Ant Announces NZ Tour

Following his recent sold out North American and UK tours, Adam Ant is celebrating the 35th anniversary of the release of his landmark KINGS OF THE WILD FRONTIER album with a newly-remastered reissue (Sony Legacy) and Australasian tour. More>>

Get More From Scoop

 
 

LATEST HEADLINES

 
 
 
 
Health
Search Scoop  
 
 
Powered by Vodafone
NZ independent news