In this issue of the Scandinavian Journal of Pain (SJP) Whibley and colleagues report on how the relationship between neck and distal upper limb pain and disability is moderated by pain beliefs .1Persistent pain is the dominating cause of work disabilityPersistent pain is severely disabling. The SJP has previously published data from two independent studies showing that around 50% of the work disability is attributable to persistent pain [2, 3]. The costs for society are immense, making this a public health issue of utmost importance.2Individual specific factors contribute to wide variation in pain from the same disease or injuryPrevention and treatment of persistent pain has traditionally focused on diagnosing and treating the peripheral pathology causing pain. Thus if the patient suffers from pain from osteoarthritis of the hip, hip arthroplasty may be indicated. Unfortunately this approach fails in very many cases. This is firstly, because there appears to be poor correlation between the degree of peripheral pathology and the degree of pain, and secondly, because the peripheral pathology is frequently not known . Though these findings may in part be explained by inadequate diagnostic techniques, for instance that we lack imaging techniques for detecting pathology in soft tissues, there
Scandinavian Journal of Pain – de Gruyter
Published: Dec 29, 2017
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