“…Building a therapeutic relationship is essential in the assessment and management of chronic pain. Ensuring sufficient duration for the initial consultation, allowing the patient time to speak and express their ideas regarding the pain, and eliciting and understanding patient expectations are all essential for successful pain management . A recent study of 12 patients interviewed preconsultation and post‐consultation in a pain clinic, without the knowledge of the clinicians involved, provided some of these comments:I guess what the appointment has done is drawn a line under it and made me think, well, that's fine but nothing can be done about it so I just need to get on with things.Even though I haven't come away with a cure, I feel in a better position to cope with my symptoms.I felt xxx listened to me more than the other healthcare professionals I have seen and took into account the effects the pain was having on my life in general, rather than just treating me as a diagnosis …”
Section: A Holistic Approach To Facial Painmentioning
confidence: 99%
“…Ensuring sufficient duration for the initial consultation, allowing the patient time to speak and express their ideas regarding the pain, and eliciting and understanding patient expectations are all essential for successful pain management. 103 A recent study of 12 patients interviewed preconsultation and post-consultation in a pain clinic, without the knowledge of the clinicians involved, provided some of these comments:…”
Section: A Holistic Approach To Facial Painmentioning
Orofacial pain represents a significant burden in terms of morbidity and health service utilization. It includes very common disorders such as toothache and temporomandibular disorders, as well as rare orofacial pain syndromes. Many orofacial pain conditions have overlapping presentations, and diagnostic uncertainty is frequently encountered in clinical practice. This review provides a clinically orientated overview of common and uncommon orofacial pain presentations and diagnoses, with an emphasis on conditions that may be unfamiliar to the headache physician. A holistic approach to orofacial pain management is important, and the social, cultural, psychological and cognitive context of each patient needs to be considered in the process of diagnostic formulation, as well as in the development of a pain management plan according to the biopsychosocial model. Recognition of psychological comorbidities will assist in diagnosis and management planning.
“…Building a therapeutic relationship is essential in the assessment and management of chronic pain. Ensuring sufficient duration for the initial consultation, allowing the patient time to speak and express their ideas regarding the pain, and eliciting and understanding patient expectations are all essential for successful pain management . A recent study of 12 patients interviewed preconsultation and post‐consultation in a pain clinic, without the knowledge of the clinicians involved, provided some of these comments:I guess what the appointment has done is drawn a line under it and made me think, well, that's fine but nothing can be done about it so I just need to get on with things.Even though I haven't come away with a cure, I feel in a better position to cope with my symptoms.I felt xxx listened to me more than the other healthcare professionals I have seen and took into account the effects the pain was having on my life in general, rather than just treating me as a diagnosis …”
Section: A Holistic Approach To Facial Painmentioning
confidence: 99%
“…Ensuring sufficient duration for the initial consultation, allowing the patient time to speak and express their ideas regarding the pain, and eliciting and understanding patient expectations are all essential for successful pain management. 103 A recent study of 12 patients interviewed preconsultation and post-consultation in a pain clinic, without the knowledge of the clinicians involved, provided some of these comments:…”
Section: A Holistic Approach To Facial Painmentioning
Orofacial pain represents a significant burden in terms of morbidity and health service utilization. It includes very common disorders such as toothache and temporomandibular disorders, as well as rare orofacial pain syndromes. Many orofacial pain conditions have overlapping presentations, and diagnostic uncertainty is frequently encountered in clinical practice. This review provides a clinically orientated overview of common and uncommon orofacial pain presentations and diagnoses, with an emphasis on conditions that may be unfamiliar to the headache physician. A holistic approach to orofacial pain management is important, and the social, cultural, psychological and cognitive context of each patient needs to be considered in the process of diagnostic formulation, as well as in the development of a pain management plan according to the biopsychosocial model. Recognition of psychological comorbidities will assist in diagnosis and management planning.
“…Patients were recruited at a London academic facial pain centre, which sees over 700 new patients a year, referred by primary care practitioners or specialists and in the oral surgery unit [5]. Prior to their appointment at our centre, patients routinely complete a series of questionnaires [16].…”
BackgroundBetter tools are required for the earlier identification and management of orofacial pain with different aetiologies. The painDETECT questionnaire is a patient-completed screening tool with utility for identification of neuropathic pain in a range of contexts. 254 patients, referred from primary care for management of orofacial pain and attending a secondary care centre, were prospectively recruited, and completed the painDETECT prior to consultation. The aim of this study was to determine the accuracy of the painDETECT to detect neuropathic components of orofacial pain, when compared to a reference standard of clinical diagnosis by experienced physicians, in a cohort of hospital-based patients.ResultsFor the 251 patients included in the analysis, the painDETECT had a modest ability to detect neuropathic components of orofacial pain (AUROC, 0.63; 95% CI, 0.58–0.70; p = 0.001). Patients with orofacial pain diagnoses associated with neuropathic components had higher painDETECT scores than those with non-neuropathic components. However, the painDETECT was weaker at distinguishing patients with mixed pain types, and multiple diagnoses were associated with poor accuracy of the painDETECT.ConclusionIn secondary care settings, the painDETECT performed modestly at identifying neuropathic components, and underestimates the complexity of orofacial pain in its mixed presentations and with multiple diagnoses. Prior to clinical applications or research use, the painDETECT and other generic screening tools must be adapted and revalidated for orofacial pain patients, and separately in primary care, where orofacial pain is considerably less common.Electronic supplementary materialThe online version of this article (10.1186/s10194-018-0932-5) contains supplementary material, which is available to authorized users.
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