Chapter

Dealing with pain

Henry McQuay

in Oxford Textbook of Medicine

Published on behalf of Oxford University Press

Published in print May 2010 | ISBN: 9780199204854
Published online May 2010 | e-ISBN: 9780199570973 | DOI: http://dx.doi.org/10.1093/med/9780199204854.003.03001

Series: Oxford Textbooks

Dealing with pain

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Pain is complex—it is too simple to view pain transmission as a hard-wired, line-labelled system, because that cannot explain complexities such as phantom limb pain. The crucial mechanistic distinction for clinical practice is between normal (nociceptive) and nerve damage (neuropathic) pain.

Types of analgesics—conventional analgesics, from paracetamol through to morphine, work well in nociceptive pain and less well in neuropathic pain. Unconventional analgesics, antidepressants, and antiepileptic drugs work well in neuropathic and less well in nociceptive pain....

Chapter.  3900 words.  Illustrated.

Subjects: Pain Medicine

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