Traumatic brain injury and pain.
The co-occurrence of traumatic brain injury (TBI) and pain is quite frequent and presents a number of challenges to the medical practitioner. The distinct nature and extent of these challenges calls for considering the co-existence of TBI and pain a unique medical entity. Clearly, from a research standpoint, the area is in its infancy. The clinician is often left with adapting standard techniques effective for evaluating and treating pain in patients without TBI. Such adaptations require a readiness to recognize how pain affects the presence and course of TBI-related symptoms and, in turn, how TBI symptoms affect the presence and course of pain. Given the myriad factors that can affect outcome, effective evaluation and treatment of this co-occurring problem need to rely on a biopsychosocial model, which encourages consideration of a broad perspective of possible causes and care approaches as well as use of multiple disciplines.
Sherman
Kristen Brewer
KB
Department of Rehabilitation Medicine, University of Washington School of Medicine, 1959 NE Pacific Street, Box 356490, Seattle, WA 98195-6490, USA.
Goldberg
Myron
M
Bell
Kathleen R
KR
D000328:Adult; D000368:Aged; D000700:Analgesics / Q000627:therapeutic use*; D001930:Brain Injuries / Q000150:complications* / Q000175:diagnosis; D005260:Female; D006261:Headache / Q000209:etiology / Q000534:rehabilitation*; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D009128:Muscle Spasticity / Q000209:etiology / Q000534:rehabilitation*; D018710:Pain Clinics; D010147:Pain Measurement; D026741:Physical Therapy Modalities; D011379:Prognosis; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome
D000700:Analgesics