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Persistent pain affects physical, mental, social and spiritual wellbeing, and is one of the most prevalent long-term conditions in New Zealand. In this article, Vanessa Brown discusses persistent pain, including its causes, symptoms and treatments. She also explores the concept of central sensitisation and its role in persistent pain
Kia ora and welcome to New Zealand Doctor Rata Aotearoa
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1. Moore D, Davies P. The Problem of Chronic Pain and Scope for Improvements in Patient Outcomes. Sapere Research Group, October 2018.
2. Lewis GN, Upsdell A. Ethnic disparities in attendance at New Zealand's chronic pain services. N Z Med J 2018;131(1472):21–28.
3. Lewis G, Borotkanics R, Upsdell A. Inequity in outcomes from New Zealand chronic pain services. N Z Med J 2021;134(1533):11–20.
4. International Association for the Study of Pain. Terminology.
5. WHO. Guidelines for the Pharmacological and Radiotherapeutic Management of Cancer Pain in Adults and Adolescents. 2018.
6. Woolf CJ. What is this thing called pain? J Clin Invest 2010;120(11):3742–44.
7. Neblett, R. The central sensitization inventory: A user’s manual. J Appl Behav Res 2018;23:e12123.
8. Allan GM, Ramji J, Perry D, et al. Simplified guideline for prescribing medical cannabinoids in primary care. Can Fam Physician 2018;64(2):111–20.
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