title: [Pain and its treatment in prison].
abstract: Frequency of pain in detention contrasts with the scarcity of the literature about this precise topic. Prescription practice makes a point of best observing the fundamental principles of penitentiary medicine, including the equivalence of care. Addictive pathology is highly prevalent. Analgesia for individuals with physical dependence to opioids requires specific knowledge and skills to avoid symptom underestimating. In case of in-cell prescription drugs accumulation, pain killers are among the most frequently found. This stirs up a questioning on good medical practice, prescription's appropriateness and both symbolic and practical roles of these pilings. Current knowledge is insufficient for answering to it. For the moment, the classical guideline of multidimensional management applies.
authors.affiliation: Service de médecine de premier recours, Unité de médecine pénitentiaire, Département de médecine communautaire et de premier recours, HUG, 1211 Genève 14. jean-pierre.rieder@hcuge.ch
authors.forename: Jean-Pierre
authors.initials: JP
authors.lastname: Rieder
authors.forename: Hans
authors.initials: H
authors.lastname: Wolff
mesh_terms: D006801:Humans; D010146:Pain / Q000188:drug therapy*; D011329:Prisoners; D019966:Substance-Related Disorders / Q000150:complications