Updated: Oct 18, 2020
What is chronic pain?
Chronic pain is an unpleasant sense of discomfort that persists or progresses over a long period. In contrast to acute pain that arises suddenly in response to a specific injury and is usually treatable, chronic pain persists over time and is often resistant to medical treatments.
The following are scenarios whose rate of occurrence is closer to that of osteoarthritis:-
The therapeutic rationale of these pain phenomena is from the understanding of the disease pathophysiology.
Chronic, Active Inflammatory Pain
Examples of Chronic, Active Inflammatory Pain include the following:-
Chronic periodontal disease (Dental disease)
Feline lymphocytic—plasmacytic stomatitis (Inflammation of the mucous membranes of the mouth)
Idiopathic feline lower urinary tract disease (Kidney disease)
Inflammatory bowel disease (Inflammation/infection of the Digestive Tract)
Meningoencephalitides (Inflammation/infection of the brain)
Otitis external (Inflammation/infection of the outer ear)
Feline interstitial cystitis (Inflammation / Infection of the urinary bladder)
The treatment order for this category of chronic pain should be in the following order:
Anti-inflammatory medications: non-steroidal anti-inflammatory drugs (NSAIDs) or corticosteroids
Treatment of underlying disease or aggravating comorbidities
Neuromodulatory analgesic drugs, such as gabapentin, tramadol, and amitriptyline
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