Skip navigation
MedlinePlus Trusted Health Information for You U.S. National Library of MedicineNational Institutes of Health
Contact Us FAQs Site Map About MedlinePlus
español Home Health Topics Drug Information Medical Encyclopedia Dictionary News Directories Other Resources

 

Medical Encyclopedia

Other encyclopedia topics:  A-Ag  Ah-Ap  Aq-Az  B-Bk  Bl-Bz  C-Cg  Ch-Co  Cp-Cz  D-Di  Dj-Dz  E-Ep  Eq-Ez  F  G  H-Hf  Hg-Hz  I-In  Io-Iz  J  K  L-Ln  Lo-Lz  M-Mf  Mg-Mz  N  O  P-Pl  Pm-Pz  Q  R  S-Sh  Si-Sp  Sq-Sz  T-Tn  To-Tz  U  V  W  X  Y  Z  0-9 

Somatoform pain disorder

Printer-friendly versionEmail this page to a friend
Contents of this page:

Alternative names   

Pain disorder; Body dysmorphic disorder

Definition    Return to top

Pain disorder is persistent and chronic pain at one or more sites in which psychological factors are thought to play a role.

Causes, incidence, and risk factors    Return to top

Pain is one of the most common reasons that people seek medical attention. In pain disorder, the suffering is so severe that it impairs a person's ability to function. Furthermore, the pain itself is thought to be related to psychological factors, such as stress or unconscious conflict. Individuals with this illness may have other medical problems, though these fail to account fully for the pain.

Unfortunately, pain that is "psychological" in nature is often stigmatized both by medical professionals and the general public. A poor understanding of the connections between mind and body can lead to the misperception that if pain has a psychological cause it isn't "real" and should be able to be controlled without medical or mental health treatment.

Symptoms    Return to top

The primary symptom of pain disorder is chronic pain for several months that limits a person's social, occupational, or recreational abilities.

Signs and tests    Return to top

A thorough medical evaluation, including laboratory work, must be performed to investigate potential causes of pain.

Treatment    Return to top

Some patients may resent the idea that their pain has a psychological component and may refuse treatment by a mental health professional. Nevertheless, many chronic pain syndromes, including those with a definitive physical source, can be effectively treated with antidepressants.

Supportive measures such as hot and cold packs, physical therapy, distraction techniques, and massage can also be helpful. Prescription and non-prescription pain medications are usually not effective and can make matters worse due to potentially serious side effects.

Support Groups    Return to top

Comprehensive treatment at pain centers may be of benefit for people with this disorder.

Expectations (prognosis)    Return to top

The outlook is worse for patients who have had symptoms for a long time or those who receive some benefit from their impairment, such as disability payments.

Complications    Return to top

Surgical complications and addictions to prescription pain medications can develop if used inappropriately to treat this condition.

Calling your health care provider    Return to top

Call your health care provider if you or your child is suffering from chronic pain.

Update Date: 2/1/2003

Updated by: David Taylor, M.D., Department of Psychiatry, University of Pennsylvania Medical Center, Philadelphia, PA. Review provided by VeriMed Healthcare Network.

adam.com logo

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2002 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.