TIMOTHY E. QUILL, M.D.
To the editor: I was glad to see Reuler and his associates (1) address the thorny issue of chronic pain; they have clarified the false distinction between organic and psychogenic pain, the use and abuse of placebos, and the need for a regular schedule of analgesic medication rather than "prn pain" in the treatment of patients with chronic pain. The remainder of their article considers medications, procedures, and behavioral techniques that have been useful in some patients with chronic pain. Many pain patients, however, have "tried it all" and are unwilling to submit themselves to the complex controls needed for
QUILL TE. Care for Chronic Pain. Ann Intern Med. ;94:134–135. doi: 10.7326/0003-4819-94-1-134
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Published: Ann Intern Med. 1981;94(1):134-135.
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