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Chronic post surgical pain (CPSP) is pain localized to the surgical site or a referred area persisting 3 months after surgery. To diagnose CPSP pain should have been absent before surgery or should have different characteristics from preoperative pain. Other possible causes of the pain such as infection, recurrence of original problem etc need to be excluded.
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ChronicPostSurgicalPaintreatmentinDelhiBy TheBestPain Specialistin Delhi-Dr.AmodManocha Chronic PostSurgicalPaintreatment: Chronicpostsurgicalpain(CPSP)ispainlocalizedto thesurgicalsiteor a referred area persisting 3monthsaftersurgery.To diagnoseCPSP pain should havebeen absentbefore surgery or should have different characteristics from preoperative pain. Other possible causesofthe painsuchasinfection, recurrence of originalproblemetcneedtobe excluded. CPSPisa commoncomplication ofsurgeryandratesupto80%inadultshavebeen reportedinsomestudies.CPSPisalsoreportedinchildren althoughthe incidenceisless thanin adults.Itcan havesignificantconsequencesfor theindividualandtheWorldHealth Organisationplanstoincludethisasaseparatediagnosisin theupcomingversion ofthe InternationalClassification ofDiseases,ICD-11.Type ofsurgeryinfluencesnotonlytherisk ofdevelopmentbutalso theseverityofCPSP.Somesurgeriesaremore prone todevelop CPSPsuchasamputations,thoracotomy,andmastectomy.Itisobservedaftercommonly
performed operationssuch asherniarepair,caesareansections,kneereplacementetc.Risk factorsfor developingCPSPincludehavingpainbeforesurgery,severityofacutepain immediatelyafter surgery,multiplesurgeriesyoungerageand site ofsurgery.Geneticand psychologicalfactorsarealsothought toplaya role.A significantproportionofthecasesare attributedto nervedamage. ManagementofCPSPrequiredmulti- modal approachfocussingon: • Patientandfamilyeducation • Optimizationofmedications • Interventionalapproachessuch asinjectionsandneuromodulation. • Physiotherapy • Psychologicalinterventionssuchascognitive behaviouraltherapy Ifyouwant toknowaboutaboutNeuropathic PaintreatmentinDelhiyoucanvisitthislink: https://www.removemypain.com/neuropathic-pain.html