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Pain Management and HMSs

Posted By Donna Wicks, October 1, 2012

“In Draft – this document is currently under Information Standard review.  If you have any questions, please contact our Information Standard Coordinator – cathy@hypermobility.or

Please use the left hand sidebar to find other articles in this section. These are being revised and updated over the Summer 2013 with support of Dr Helen Cohen and colleagues at Stanmore Royal National Orthopaedic Hospital.


When pain persists for months or years the effects can be wide ranging

The following may be very familiar to those with chronic / long term pain:

Distress relating to their experience of the healthcare system

o   Have been told different things by different people about the cause of their pain

o   Have been offered a variety of treatments; some of which may have helped but many have not helped

Lack of understanding about their pain

o   Confusion about its cause

o   Concerns about increasing damage

o   Not knowing the best way forward for them and their pain


o   Tried many different types, many of which only take the edge off the pain

o   Experienced many side effects


o   Reduction in fitness

o   Weak muscles

o   Stiff joints (despite being hypermobile)

Friends and family

o   Reduction in social life

o   Loss of contact with friends

o   Increased isolation

o   Difficulties in sex life due to pain, fatigue, worry, misunderstandings


o   Difficult to fufil role at work due to pain

o   Experience that managers/colleagues do not understand

o   Reduction on working hours or stopped working

Sleep and fatigue

o   Hard to initiate sleep

o   Wake during the night

o   Feeling tired and fatigued throughout the day

o   Sleep during the day, but unable to sleep at night


o   Depression or low mood

o   Fear, anxiety, worry and concerns

o   Guilt about unable to fulfil their role as, for example, a parent, a partner, a colleague, the ‘bread winner’ for example

o   Feeling unable to achieve anything

o   Feeling hopeless about their situation

o   Feeling unable to cope during times of increased pain

o   Frustration about the pain interfering with many aspects of life

The Most Important Thing to Remember: Pain Can Be Relieved.

Pain management strategies can address all of these by using a number of techniques that require both self help and advice from skilled professionals. Take a look at the articles in the left hand section menu.

Dr Alan J Hakim MA FRCP
Consultant Physician and Rheumatologist
Hon. Senior Lecturer
Barts Health NHS Trust and Queen Mary University London

Updated: June 2013

Academic Reference

Daniel C. Pain Management and Cognitive Therapy. Chapter 8 in Hypermobility, Fibromyalgia, and Chronic Pain. Eds Hakim, Keer, Grahame. Churchill-Livingston, London 2010

Turk DC, Monarch ES (2002). Biopsychosocial perspective on chronic pain. In: RJ Gatchel and DC Turk (Eds.), Psychological Approaches to Pain Management: A Practitioner’s Handbook. Guilford Press: New York, pp. 3-29.

The information provided by the HMSA should not take the place of advice and guidance from your own health-care providers. Material in this site is provided for educational and informational purposes only. Be sure to check with your doctor before making any changes in your treatment plan. Articles were last reviewed by our Medical Advisors as being correct and up to date on 5th June 2004.

Please be aware that information posted on the discussion boards is the opinion of the authors and has not necessarily been approved or endorsed by the medical advisors.
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