Enhanced management of acute post-traumatic pain for the prevention of chronic pain and disability

Lead researchers: Prof Deborah Falla, Dr Alison Rushton

Aim: To apply state-of-the-art methods and statistical approaches to better understand acute post-traumatic pain and prognosis in relation to the development of ongoing pain and disability and use this knowledge to better manage pain.

Background: Chronic pain and disability are unhelpful common sequelae of trauma-related injuries. Gaining an understanding of why some people develop chronic and disabling post-traumatic pain is therefore a priority for both military personnel and wider society. Notwithstanding, the mechanisms that underlie the transition from acute to chronic, disabling post-traumatic pain are not fully understood. Such knowledge would facilitate the development and implementation of a clinical pathway of care that matches interventions to projected risk of poor recovery, with the aim of preventing poor long-term outcomes.

Method:  Using a combination of questionnaires to gauge such thinks as measure of pain, post-traumatic stress, depression and anxiety together with methods to QUANTIFY physical functioning and indicators of active pain-related MECHANISMS the team aims to find a set of factors that could identify those patients at risk of developing ongoing post-traumatic pain and disability following acute trauma.

Measure findings: Findings will be measured by identifying risk factors for poor prognosis following acute post-traumatic pain with the aim of developing a screening method to identify the predicted risk of poor recovery and transition from acute to chronic post-traumatic pain.

Lead researchers