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Somatoform pain disorder - Treatment

Alternative Names

Pain disorder

Treatment:

Some patients may not believe that their pain is due to psychological factors, and may refuse treatment by a mental health professional. Yet many chronic pain syndromes, including those due to physical problems, can be effectively treated with antidepressants.

Supportive measures such as hot and cold packs, physical therapy, distraction techniques, and massage can also be helpful. Prescription and non-prescription pain medications are usually not effective and can have serious side effects.

Support Groups:

People with this disorder may benefit from treatment at pain centers.

Expectations (prognosis):

The outlook is worse for patients who have had symptoms for a long time. Your outlook will improve if you can start doing your previous activities, even with the pain.

Complications:

  • Addiction to prescription pain medications (if they are not used correctly)
  • Complications from surgery

Calling your health care provider:

Call your health care provider if you or your child experiences chronic pain.

  • Reviewed last on: 8/24/2008
  • Linda Vorvick, MD, Seattle Site Coordinator, Lecturer, Pathophysiology, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine; and Timothy A. Rogge, MD, private practice in Psychiatry, Kirkland, Washington. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

DeGruy FV. The somatic patient. In: Rakel RE, ed. Textbook of Family Medicine. 7th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 61.

Purcell TB. Somatoform disorders. In: Marx J, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 6th ed. Philadelphia, Pa: Mosby Elsevier;2006: chap 111.

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