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Current thinking in pain medicine and some thoughts on back pain

Published on January 30, 2020   34 min

A selection of talks on Clinical Practice

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0:00
"Current Thinking in Pain Medicine." Greetings. My name is Nick Hacking. I am a Consultant Anesthetist in Preston in the Northwest of England. The talk that I'm going to give is based on one that I delivered to the Back Pain Research Society in 2016. Very briefly, I'm going to try to convey some of the modern concepts in pain medicine. Then, I'd like to look specifically at interventional treatments for mechanical back pain radiofrequency denervation, because there are some considerable contradictions between the basic messages of modern pain clinic and the notion that we can actually cure pain with radiofrequency energy, which does indeed seem to be the case.
0:50
In this talk, we're going to look at some facts, and these are facts which many people watching this presentation for the first time will probably find very surprising and very difficult to comprehend. The first is that pain is completely independent of tissue damage. This is essentially counter-intuitive. It's certainly difficult for many doctors to understand and extremely difficult for patients to accept sometimes. Nonetheless, this is where the evidence leads us. There is a genetic predisposition to chronic pain. Childhood experience influences adult chronic pain. Psychological factors influence chronic pain, and psychological factors influence the outcomes of interventions.

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Current thinking in pain medicine and some thoughts on back pain

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