intractable pain


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Related to intractable pain: Phantom Pain, referred pain

in·trac·ta·ble pain

pain resistant or refractory to ordinary analgesic agents.

intractable pain

Etymology: L, intractabilis, hard to manage, poena, penalty
pain that is not relieved by ordinary medical, surgical, and nursing measures. The pain is often chronic and persistent and can be psychogenic in nature.

intractable pain

Refractory pain Pain medicine Persistent pain which does not respond to at least 3 dosease of parenteral analgesics given over a 12-24 hr period; pain that does not respond to appropriate doses of opioid analgesics.

intractable pain

Chronic pain that is difficult or impossible to manage with standard interventions. Common causes include metastatic cancer, chronic pancreatitis, radiculopathy, spinal cord transection, or peripheral neuropathy. Intractable pain may also accompany somatoform disorders, depression, fibromyalgia, irritable bowel syndrome, and opiate dependence. Various combinations of the following management strategies are often used to treat intractable pain: antidepressant medications, counseling, deep brain stimulation, injected anesthetics, narcotic analgesics, neurological surgery, and pain clinic consultations.
See also: pain
References in periodicals archive ?
The guiding principles of the Clinic were a multidisciplinary approach to chronic pain problems, a realisation of the great importance of psychological factors in the persistence of pain and a willingness to explore innovative approaches to the management of intractable pain.
He said the physician failed to establish that each patient suffered from intractable pain as defined by the statute by failing to, among other things, establish that the cause of the patient's pain could not be removed or otherwise treated.
As to the traditional claim regarding physician under-treatment of intractable pain, most states legislatures and medical licensing boards have adopted intractable pain laws and medical protocols to treat patients suffering from debilitating chronic pain.
In fact, Virginia has an Intractable Pain Treatment Act that allows doctors to prescribe narcotics "in excess of the recommended dosage upon certifying the medical necessity.
The Spinal Modulation system has provided substantial benefit to a number of my patients with chronic intractable pain that have not had adequate pain relief with other Spinal Cord Stimulation (SCS) systems.
Based on my clinical experience and research with peripheral nerve stimulation therapy to date, this technique seems to be a promising treatment option in the field of chronic intractable pain management.
ReBuilder (RBRM) is a durable medical equipment supplier that distributes and supports the ReBuilder System for the painful symptoms of neuropathy, MS, MD, peripheral vascular disease, low back pain, post polio syndrome and other forms of chronic, intractable pain.
Sorrento is also developing RTX, a non-opiate TRPV1 agonist currently in a Phase 1/2 study at the NIH to treat terminal cancer patients suffering from intractable pain.
In California, physicians can use the Intractable Pain Act to administer opiate drugs, regardless of respiratory concerns.
Spiller shared this observation with his colleague Edward Martin, and the pair deliberately cut the spinal cord of another patient to alleviate his intractable pain in both legs.
Proceeds from the financing will be used to support further development of the company's next generation spinal cord stimulator system to treat patients suffering from chronic intractable pain.
People who suffer from chronic, intractable pain tend to be very heavy consumers of medication.