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Papers of the Week

Papers: 16 Mar 2019 - 22 Mar 2019


2019 Jun

Curr Opin Support Palliat Care



Where has the ‘bio’ in bio-psycho-social gone?


Schweinhardt P
Curr Opin Support Palliat Care. 2019 Jun; 13(2):94-98.
PMID: 30893103.


Current definitions of pain do not necessitate tissue damage. This is important because it does justice to the pain patient in whom a nociceptive source is not detectable. However, in conjunction with exciting findings regarding supraspinal pain modulation and a (perceived) failure of identifying nociceptive sources in individual patients, this might have led to a devaluation of the role of nociception for chronic pain. In this review, the relative importance of nociception versus psychological factors for chronic pain is examined by scrutinizing the example of pain present several months following surgical joint replacement for severe osteoarthritis.