The Landscape of Chronic Pain: Broader Perspectives
Chronic pain is a global health concern. This special issue on matters related to chronic pain aims to draw on research and scholarly discourse from an eclectic mix of areas and perspectives. The purpose of this non-systematic topical review is to précis an assortment of contemporary topics...
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| Format: | Article |
| Language: | English |
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MDPI AG
2019-05-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1010-660X/55/5/182 |
| _version_ | 1797728615009353728 |
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| author | Mark I. Johnson |
| author_facet | Mark I. Johnson |
| author_sort | Mark I. Johnson |
| collection | DOAJ |
| description | Chronic pain is a global health concern. This special issue on matters related to chronic pain aims to draw on research and scholarly discourse from an eclectic mix of areas and perspectives. The purpose of this non-systematic topical review is to précis an assortment of contemporary topics related to chronic pain and its management to nurture debate about research, practice and health care policy. The review discusses the phenomenon of pain, the struggle that patients have trying to legitimize their pain to others, the utility of the acute−chronic dichotomy, and the burden of chronic pain on society. The review describes the introduction of chronic primary pain in the World Health Organization’s International Classification of Disease, 11th Revision and discusses the importance of biopsychosocial approaches to manage pain, the consequences of overprescribing and shifts in service delivery in primary care settings. The second half of the review explores pain perception as a multisensory perceptual inference discussing how contexts, predictions and expectations contribute to the malleability of somatosensations including pain, and how this knowledge can inform the development of therapies and strategies to alleviate pain. Finally, the review explores chronic pain through an evolutionary lens by comparing modern urban lifestyles with genetic heritage that encodes physiology adapted to live in the Paleolithic era. I speculate that modern urban lifestyles may be painogenic in nature, worsening chronic pain in individuals and burdening society at the population level. |
| first_indexed | 2024-03-12T11:16:36Z |
| format | Article |
| id | doaj.art-54bdf8e3f6704fb1a1c5d0a93e77d79c |
| institution | Directory Open Access Journal |
| issn | 1010-660X |
| language | English |
| last_indexed | 2024-03-12T11:16:36Z |
| publishDate | 2019-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-54bdf8e3f6704fb1a1c5d0a93e77d79c2023-09-02T01:57:29ZengMDPI AGMedicina1010-660X2019-05-0155518210.3390/medicina55050182medicina55050182The Landscape of Chronic Pain: Broader PerspectivesMark I. Johnson0Centre for Pain Research, School of Clinical and Applied Sciences, City Campus, Leeds Beckett University, Leeds LS1 3HE, UKChronic pain is a global health concern. This special issue on matters related to chronic pain aims to draw on research and scholarly discourse from an eclectic mix of areas and perspectives. The purpose of this non-systematic topical review is to précis an assortment of contemporary topics related to chronic pain and its management to nurture debate about research, practice and health care policy. The review discusses the phenomenon of pain, the struggle that patients have trying to legitimize their pain to others, the utility of the acute−chronic dichotomy, and the burden of chronic pain on society. The review describes the introduction of chronic primary pain in the World Health Organization’s International Classification of Disease, 11th Revision and discusses the importance of biopsychosocial approaches to manage pain, the consequences of overprescribing and shifts in service delivery in primary care settings. The second half of the review explores pain perception as a multisensory perceptual inference discussing how contexts, predictions and expectations contribute to the malleability of somatosensations including pain, and how this knowledge can inform the development of therapies and strategies to alleviate pain. Finally, the review explores chronic pain through an evolutionary lens by comparing modern urban lifestyles with genetic heritage that encodes physiology adapted to live in the Paleolithic era. I speculate that modern urban lifestyles may be painogenic in nature, worsening chronic pain in individuals and burdening society at the population level.https://www.mdpi.com/1010-660X/55/5/182chronic painanalgesiapain perceptionsensory illusionsembodied painpainogenic environmentevolutionary mismatch hypothesis |
| spellingShingle | Mark I. Johnson The Landscape of Chronic Pain: Broader Perspectives Medicina chronic pain analgesia pain perception sensory illusions embodied pain painogenic environment evolutionary mismatch hypothesis |
| title | The Landscape of Chronic Pain: Broader Perspectives |
| title_full | The Landscape of Chronic Pain: Broader Perspectives |
| title_fullStr | The Landscape of Chronic Pain: Broader Perspectives |
| title_full_unstemmed | The Landscape of Chronic Pain: Broader Perspectives |
| title_short | The Landscape of Chronic Pain: Broader Perspectives |
| title_sort | landscape of chronic pain broader perspectives |
| topic | chronic pain analgesia pain perception sensory illusions embodied pain painogenic environment evolutionary mismatch hypothesis |
| url | https://www.mdpi.com/1010-660X/55/5/182 |
| work_keys_str_mv | AT markijohnson thelandscapeofchronicpainbroaderperspectives AT markijohnson landscapeofchronicpainbroaderperspectives |