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AUSTRALIAN CLINICS SURVEYED: CONDITIONS TREATED
At the clinics surveyed the main pain-producing pathologies seen were neurological and those of the muscles and skeleton. The least frequent was endocrinological — that is, involving various internal secretions or hormones.
The pain clinics most commonly saw chronic lower back and chronic head and neck pain with all of the clinics reporting that they had treated physically caused chronic head and neck pain.
Jaw-joint pain, or TMJ syndrome, was the most frequent pain syndrome encountered in the area of head and neck. This is the most common chronic pain syndrome with a dental origin.
Post herpetic neuralgia, that is, the pain after shingles (herpes zoster) was seen by 93 per cent of the clinics, 60 per cent seeing it often. Depressive, or abnormal, facial pain was seen by 93 per cent of clinics ‘often or sometimes’.
Other frequently occurring syndromes were trigeminal neuralgia, cervical spondylosis (arthritis of the neck) and referred pain. Migraine and tension headache were less prominent than expected.
The clinics hardly ever see patients with pain from cerebral tumour, diabetic cranial nerve palsy or giant cell arteritis (a blood cell disorder).
All syndromes were seen often — with the exception of postsurgical abdominal pain, phantom limb pain and psychologically caused gynaecological pain, which were encountered only sometimes.
Most clinics used drug therapy with the majority of patients. Non-surgical and anaesthetic procedures tended to be performed where the relevant specialists were heavily involved in the pain clinics.
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