Chronic Pain

What is pain?
Pain is the body’s natural response to harm. Pain occurs when special pain receptors at the end of the nerves, called nociceptors, are turned on because of an illness or injury or because chemical changes within the body indicate that tissues are being damaged. When a nociceptor is turned on, a signal travels through the spinal cord to the brain, which recognizes the signal as pain.

When does normal acute pain become abnormal chronic pain?
When pain lasts a long time, it is called chronic pain. This type of pain is often caused by an illness or injury. Some doctors consider pain to be chronic when it lasts one month longer than expected, but the general medical definition of chronic pain is pain that has lasted for six months or longer.

Chronic pain can be one of two types: nociceptive and neuropathic. Each type differs based on what causes it, what it feels like, and what types of treatments may relieve it. Of the two, neuropathic pain can often be managed by a therapy called neurostimulation, also known as spinal cord stimulation (SCS). Dr. Hanna is experienced treating neuropathic pain using SCS and emerging experimental approaches such as IV Ketamine.

What increases your risk of developing a chronic pain condition? 

Risk factors are things that increase your chances of getting sick or having a problem. Risk factors for chronic pain include:

  • Aging. Older adults are more likely to have certain health problems that can lead to chronic pain, such as arthritis, diabetes, and shingles.
  • Certain health problems.These include:
    • Existing health conditions, such as fibromyalgia, shingles, arthritis, depression or anxiety disorders, or phantom limb pain.
    • Past health problems, such as joint injuries or past surgeries.
    • Overall general health. You may have a weakened immune system, which can lead to frequent infections or illness.
  • Lifestyle, such as not eating healthy foods, not exercising regularly,smoking, or having a drug or alcohol problem.

Other risk factors include stress, relationship problems, or a history of physical, sexual, or emotional abuse.

When should you see a doctor?

Make an appointment with Dr. Hanna about chronic pain if:

  • Your pain has lasted more than 3 months without a clear reason.
  • You are feeling down or blue or are not enjoying the activities or hobbies that you have enjoyed in the past. You may have depression, which is common with chronic pain.
  • You can’t sleep because of the pain.
  • You had an illness or injury that healed, but you still have pain.

Book an appointment with Dr. Hanna for a pain evaluation!

Dr. Hanna is a world-renowned pain doctor.  He has treated hundreds of thousands of patients.  In many cases, his patients are referred to him as a last resort when conventional pain therapies have failed to produce adequate pain reduction.  Click the “Make an Appointment” button below to schedule an appointment. Otherwise, contact us for more information or to make an appointment over the phone.


Related Research Articles

Title: Transcutaneous electrical nerve stimulation for relieving acute pain in the prehospital setting: a systematic review and meta-analysis of randomized-controlled trials
Authors: Simpson, Paul M.; Fouche, Peiter F.; Thomas, Richard E.; Bendall, Jason C.
Journal: European Journal of Emergency Medicine


Title: Review of pharmacological therapies in fibromyalgia syndrome

Authors: Winfried Häuser, Brian Walitt, Mary-Ann Fitzcharles and Claudia Sommer
Journal: Arthritis Research & Therapy


Title: Intravenous Infusions in Chronic Pain Management

Authors: Boleslav Kosharskyy, MD, Wilson Almonte, MD, Naum Shaparin, MD, Marco Pappagallo, MD, and Howard Smith, MD
Journal: Pain Physician

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