TY - JOUR
T1 - Transitioning from acute to chronic pain
T2 - An examination of different trajectories of low-back pain
AU - Gatchel, Robert J.
AU - Bevers, Kelley
AU - Licciardone, John C.
AU - Su, Jianzhong
AU - Du, Ying
AU - Brotto, Marco
N1 - Publisher Copyright:
© 2018 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2018/6
Y1 - 2018/6
N2 - Traditionally, there has been a widely accepted notion that the transition from acute to chronic pain follows a linear trajectory, where an injury leads to acute episodes, subacute stages, and progresses to a chronic pain condition. However, it appears that pain progression is much more complicated and individualized than this original unsupported assumption. It is now becoming apparent that, while this linear progression may occur, it is not the only path that pain, specifically low-back pain, follows. It is clear there is a definite need to evaluate how low-back pain trajectories are classified and, subsequently, how we can more effectively intervene during these progression stages. In order to better understand and manage pain conditions, we must examine the different pain trajectories, and develop a standard by which to use these classifications, so that clinicians can better identify and predict patient-needs and customize treatments for maximum efficacy. The present article examines the most recent trajectory research, and highlights the importance of developing a broader model for patient evaluation.
AB - Traditionally, there has been a widely accepted notion that the transition from acute to chronic pain follows a linear trajectory, where an injury leads to acute episodes, subacute stages, and progresses to a chronic pain condition. However, it appears that pain progression is much more complicated and individualized than this original unsupported assumption. It is now becoming apparent that, while this linear progression may occur, it is not the only path that pain, specifically low-back pain, follows. It is clear there is a definite need to evaluate how low-back pain trajectories are classified and, subsequently, how we can more effectively intervene during these progression stages. In order to better understand and manage pain conditions, we must examine the different pain trajectories, and develop a standard by which to use these classifications, so that clinicians can better identify and predict patient-needs and customize treatments for maximum efficacy. The present article examines the most recent trajectory research, and highlights the importance of developing a broader model for patient evaluation.
KW - Acute
KW - Chronic
KW - Low-back pain
KW - Pain
KW - Pain trajectories
KW - Subacute
UR - http://www.scopus.com/inward/record.url?scp=85072039709&partnerID=8YFLogxK
U2 - 10.3390/healthcare6020048
DO - 10.3390/healthcare6020048
M3 - Article
AN - SCOPUS:85072039709
SN - 2227-9032
VL - 6
JO - Healthcare (Switzerland)
JF - Healthcare (Switzerland)
IS - 2
M1 - 48
ER -