Condition: Chronic Pain

Chronic pain is defined as pain lasting longer than 3 months.

1 in 4 UK adults suffer with a chronic pain syndrome.

The symptoms associated with chronic pain will depend on the underlying cause for the pain. The pain may be mild or severe and continuous or sporadic.

The 3 most common pain locations are back pain, headache, and joint pain.

Chronic pain is not only a physical problem; it often has severe effects on psychological, social and economic health.

Chronic pain can be localised or generalised and is divided into 5 categories based on suspected cause:

  • Myofascial (muscle and connective tissue);
  • Musculoskeletal (mechanical);
  • Neuropathic (nerve);
  • Fibromyalgia (widespread pain);
  • Chronic headache.

Chronic pain is usually diagnosed by taking a thorough history and examination to identify the type of pain, severity, functional impact and context.

Patients with musculoskeletal pain may benefit from X-Rays of the affected joint(s).

In neuropathic pain, nerve conduction studies and electromyography are frequently used to identify which nerves are affected.

Chronic Pain Treatment

A holistic approach is often needed to treat chronic pain conditions. Physiotherapy, modifications to work and home environment and psychological therapies are important aspects of patient care.

Medical therapy is dependent on the underlying cause of pain, as addressing the underlying cause is an important component of treatment.

For muscle and connective tissue pain simple painkillers are often first line treatment with stronger painkillers (e.g. codeine, tramadol and morphine) used in conjunction in severe pain. Some patients benefit from localised corticosteroid injections.

Neuropathic pain treatment is covered in greater detail here.

Medicinal cannabis can be considered when first line therapies have not achieved adequate symptom control.

Arrange a Referral

At Sapphire London we operate on a doctor to doctor referral basis. We accept referrals from GP’s and consultants. This is to ensure that the patient’s condition has been fully assessed by a qualified physician and all other treatment options have been attempted.

For doctors to refer a patient to us, please click here to fill and securely submit a referral form.

For patients, please print off this form on information regarding Sapphire UK and ask your GP or consultant to refer to us through the online system.

Refer a Patient