Saturday, September 30, 2023

Chronic primary pain isn’t a primary diagnosis

  1. Nick Mann, general practitioner and musculoskeletal specialty doctor
  1. London, UK
  1. drnickmann{at}

Chronic primary pain as a primary diagnosis and as the target for (demonstrably ineffective) treatment is a flawed and retrogressive concept. Its definition is oxymoronic, describing most “primary” chronic pain as of musculoskeletal origin, which is actually poorly understood secondary pain.

A label of chronic primary pain encourages referral of the problem back to patients owing to its self-generating, interpretive, or long term nature, but it is not a medical …

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