Pain chronification and the distinction between acute and chronic pain

Published on January 31, 2024   30 min
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0:00
Hello. My name is Ravi Prasad. I'm a clinical professor and Director of Behavioral Health at the University of California Davis School of Medicine in Sacramento, California. I'm going to be speaking about pain chronification and the distinction between acute and chronic pain.
0:20
I have just one disclosure. I'm on the advisory board of Menda Health.
0:26
For this presentation, there are three primary objectives. Number one, to articulate the psychosocial risk factors associated with chronification of pain. Number two, to identify the differences between acute and chronic pain. And number three, delineate the components of interdisciplinary headache management.
0:48
But I want to start by putting pain in context. The US Department of Health and Human Services estimates that roughly one-fifth of the US population has chronic pain. Of these individuals, approximately 36.4% have what's called high-impact chronic pain. High-impact chronic pain is pain that results in significant impairment in at least one domain in a person's life, and has persisted for at least three months. Chronic pain tends to be most prevalent in women, individuals over the age of 65, and non-Hispanic white adults. Pain also tends to be more prevalent in rural areas.
1:28
But what causes pain?
1:32
We understand that there's a wide range of different risk factors for the development of chronic pain, particularly headaches, and we can divide these into several large categories. First, there's biological factors, which includes things such as gender and genetics. The second is lifestyle variables, such as substances. For example, caffeine and medication overuse. Other lifestyle variables are things like sleep or activity patterns. And finally, there are psychosocial variables, which is what I will be elaborating upon in the next several slides. The common psychosocial risk factors associated with

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