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

 

Caracals: Small Cats With Big Ears Arrive At Wellington Zoo

Visitors to Wellington Zoo will be able to see New Zealand’s first Caracals in the Zoo’s new Grassland Cats habitat, with a special visitor opening day on Saturday 27 September. More>>

Gordon Campbell: Classics - Tales From Moominvalley
Can’t speak for the reading end of it but the Moomins ( or maybe the story about Margaret Wise Brown) were the most enjoyable subject to think about and write about during these whole first 50 issues of Werewolf. For that reason – and because the Moomins always reward re-reading – I’ve decided to reprint it. The only added element is a link to an interesting hour long documentary about Tove Jansson. More>>

ALSO:

Repping In The Pacific: All Blacks And Manu Samoa To Play Historic Apia Test

The All Blacks will play Manu Samoa in Apia on Wednesday 8 July next year as part of both teams’ preparations for Rugby World Cup 2015. More>>

ALSO:

Monarchy: Duke And Duchess Of Cambridge Are Expecting Second Child

Their Royal Highnesses The Duke and Duchess of Cambridge are very pleased to announce that The Duchess of Cambridge is expecting their second child. More>>

ALSO:

2015: Elton John Plans Wellington Show

After nine years, Elton John and his band will return to Westpac Stadium, Wellington for one spectacular concert! The November 21, 2015 concert will feature iconic hits and classic album tracks from throughout his incredible five-decade career... More>>

Book Awards: Jill Trevelyan's Story Of Peter McLeavey Is Book Of The Year

The story of Wellington art dealer Peter McLeavey and his gallery has won the prestigious New Zealand Post Book of the Year 2014 in a glittering ceremony in Wellington. More>>

ALSO:

Scoop Review Of Books: King Richard

Simon Nathan reviews 'Richard Seddon, King of God’s Own': My father grew up in Wellington during Seddon’s premiership... I can recall him standing under the Seddon statue in the grounds of parliament and telling me that Seddon had more backbone than Sid Holland and all his cabinet colleagues put together.. More>>

8 October: Miley Cyrus Bangerz Tour Coming To Auckland!

Dainty Group announced today that global superstar Miley Cyrus will bring her BANGERZ TOUR to New Zealand in October this year. This will be Miley’s first ever visit to New Zealand and there will only be one Auckland show before she takes her tour to Australia. More>>

ALSO:

Get More From Scoop

 
 

LATEST HEADLINES

 
 
 
 
Health
Search Scoop  
 
 
Powered by Vodafone
NZ independent news