Gerônimo Lluberas-Acosta, MD
To the Editors: I read Max's excellent discussion on analgesia (1) in search of suggestions that would help me with the most difficult group of patients in a rheumatology practice. I was disappointed to discover that, as with many other monographs on the subject, it explicitly excludes patients with chronic pain due to serious nonmalignant disease. Severe rheumatoid arthritis, advanced ankylosing spondylitis, and patients who cannot tolerate nonsteroidal anti-inflammatory drugs are but a few examples. Although a body of data about acute pain and chronic cancer pain is emerging, no such data are available to guide clinicians in managing other
Lluberas-Acosta G. Chronic Pain. Ann Intern Med. ;114:342–343. doi: 10.7326/0003-4819-114-4-342_3
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Published: Ann Intern Med. 1991;114(4):342-343.
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