Which body systems should be addressed when obtaining a history for chronic pain syndrome (CPS), and what is the effect of chronic pain on laterality judgement?

Updated: Jan 14, 2020
  • Author: Manish K Singh, MD; Chief Editor: Stephen Kishner, MD, MHA  more...
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Answer

Obtain history specific to the following systems and related disorders:

  • Musculoskeletal

  • Neurologic

  • Gynecologic and obstetric

  • Urologic

  • GI

In addition, a good psychosocial or psychosexual history is needed when organic diseases are excluded or coexisting psychiatric disorders are suggested. Obtain sufficient history to evaluate depression; anxiety disorder; somatization; physical or sexual abuse; drug abuse/dependence; and family, marital, or sexual problems. Somatization is a commonly associated psychologic disorder in women with chronic pain. Somatization scales can be used for evaluation. [20]

A report by Nygaard et al on women with chronic pelvic pain found that those patients in the study who had been subject to abuse tended to have a greater tendency toward analgesic use, obstructed defecation syndrome, anxiety, and subjective health complaints. [21]

A literature review by Ravat et al indicated that in persons with chronic pain—specifically, complex regional pain syndrome type 1, upper limb pain, hand and wrist pain, carpal tunnel syndrome, facial pain, knee osteoarthritis, or leg pain—laterality judgement is impaired. [22]


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