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Chest Pain

  • Thomas J. Hong
  • Jonathan Chang
Chapter
  • 89 Downloads

Abstract

Chest pain is a common chronic pain syndrome causing debilitating pain in patients suffering from this condition. Postherpetic neuralgia and chronic postsurgical pain syndrome (i.e., post-mastectomy, post-thoracotomy) remain the most frequently encountered cause of chronic chest pain in a pain management clinic setting. Despite the devastating nature of CPSP and its high prevalence, it is a complex pain syndrome that remains incompletely understood with a lack of definitive treatment options available to patients. Therefore, it is imperative to implement early preventative strategies to minimize risk factors to reduce the incidence of CPSP. Treatment is largely focused on the neuropathic component of the pain, beginning with medications and transitioning to procedures or surgery if the patient continues to have intractable pain. Clinicians should take a stepwise approach initially focused on ruling out cardiopulmonary and neoplastic etiologies which may lead to acute life-threatening events and the urgent treatment timeline often associated with cancer therapies.

Keywords

Chest pain Post-thoracotomy pain Post-mastectomy pain Postherpetic neuralgia Chronic postsurgical pain syndrome Chest wall pain Persistent postsurgical pain syndrome 

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Thomas J. Hong
    • 1
  • Jonathan Chang
    • 2
  1. 1.Department of Interventional Pain Management, Regency Pain and Therapy InstituteMansfieldUSA
  2. 2.Department of Anesthesiology and Pain ManagementUT Southwestern Medical CenterDallasUSA

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