Oro-Facial Pain. By Iain Macleod. What is Pain?. “Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage” “- pain is always subjective -”. Int. Assoc. for the Study of Pain. Oro-Facial Pain.
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Int. Assoc. for the Study of Pain
After a primary VZV infection (chickenpox), latent VZV infection is established in the dorsal-root ganglia, and zoster occurs with subsequent reactivation of the virus
N Engl J Med Vol 356(13) P1338-1343
Somatisation has been defined as “the expression of personal and social distress in an idiom of bodily complaints with medical help seeking”
“In general medical practice, somatisation associated with psychiatric illness accounts for 20 - 30% of all consultations”
Burning mouth syndrome is characterized as a burning, tender, or annoying sensation in the mouth with no apparent mucosal lesion.
Late middle age – elderly
- Secondary gain – what benefits does the patient get from being unwell?
Pain Management is multidisciplinary!
Liaise closely with the GMP