Acute pain is an expected physiologic experience to noxious stimuli that can become pathologic, is normally sudden in onset, time limited, and motivates behaviors to avoid actual or potential tissue injuries.
Prevention as it relates to pain addresses three tiers. Primary prevention includes efforts to reduce injuries or diseases that may result in pain. Secondary prevention includes interventions designed to reduce the likelihood that acute pain transitions into chronic pain. Tertiary prevention interventions attempt to limit the development of disabilities and other complications of chronic pain after it has developed.
The acupuncture handbook of sports injuries pain pdf download
Providers frequently are very constrained in the time they can spend with individual patients. The typical primary care visit is approximately 17 minutes in duration, and fees permitted for brief office visits are fixed. Such visits usually involve attending to a number of clinical issues as well as trying to develop a rational, individualized pain treatment regimen. Capitation schemes create incentives for clinicians to minimize the total resources devoted to addressing complex problems such as pain control. In pay-for-performance systems additional payments are earned based on favorable outcomes being achieved. In pain management, there are no such systems. Providing referrals for acupuncture or CBT may require primary care providers or specialists to provide clinical services with which they have little experience. Specifically, monitoring such services for referred patients may be difficult, and patient outcomes are more uncertain and require more clinician time to assess. These complexities can create situations where clinical choices for physicians and patients are weighted towards use of prescription drugs. 2ff7e9595c
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