Hampf G
Facial Pain Clinic, University of Helsinki, Finland.
Proc Finn Dent Soc. 1993;89(1-2):15-28.
The multidimensional nature of chronic pain often requires a variety of therapies, ranging from reassurance and relaxation training to invasive treatment. The high spontaneous rate of recovery in temporomandibular dysfunction can lead to overtreatment of a benign disorder. However, a tendency to undertreat chronic facial pain and malignant pain conditions also exists. In therapy-resistant chronic pain cases, alternative therapies merit consideration, even though they may generally be rejected by Western medicine as unscientific and no better than placebo. Working with chronic pain patients is demanding and fulfilling but can be wearing. Doctors, nurses and other staff involved in pain treatment should take part in supervision of therapeutic work, to prevent burn-out. This article offers guidelines for treatments rarely considered as routine therapy, and describes an extreme case of therapy-resistant chronic facial pain.
慢性疼痛的多维度特性通常需要多种治疗方法，从安抚和放松训练到侵入性治疗。颞下颌关节紊乱症较高的自然恢复率可能导致对良性疾病的过度治疗。然而，对慢性面部疼痛和恶性疼痛状况治疗不足的倾向也存在。在治疗抵抗性慢性疼痛病例中，尽管替代疗法通常可能被西医视为不科学且不比安慰剂好而遭到拒绝，但仍值得考虑。治疗慢性疼痛患者要求高且有成就感，但也可能令人疲惫。参与疼痛治疗的医生、护士和其他工作人员应参与治疗工作的监督，以防止倦怠。本文提供了很少被视为常规治疗的治疗指南，并描述了一例治疗抵抗性慢性面部疼痛的极端病例。
