The pain is mostly described by the patient as stabbing, burning, tearing, squeezing etc. Acute pain is accompanied by a stress response that includes increased blood pressure, tachycardia, pupillary dilation and elevated plasma cortisol levels. This may be accompanied by local muscle contraction. The four broad categories of pain are generally nociception, pain perception, pain behavior. Chronic pain affects 20% of the European population and is common among women, older people and those with relative deprivation. Its management in the community remains generally unsatisfactory, partly due to a lack of evidence for effective intervention. Good epidemiological research on chronic pain provides important information on the prevalence and factors associated with its onset and persistence. Improving our understanding of associated factors will inform our clinical management, limit severity and reduce disability.
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