Fatigue ExhaustionSleep Disorders

Patients use up significant amounts of energy to cope with their pain. Physically, muscle tension will be increased around the painful site, which restricts and limits movement. In addition, coping with pain is emotionally draining. This reduces any reserves of energy that they have and commonly leads patients to experience significant tiredness and fatigue. This can be accentuated by fatigue from lack of restorative sleep, which usually accompanies chronic pain.

Almost invariably patients with chronic pain give a history of significant interference with sleep [34]. This is usually both initiation as well as maintenance of sleep. Inactivity and depressed mood can also contribute to poor sleep. Non-restorative sleep itself can lead to chronic fatigue, difficulties in concentration, irritability and may also increase pain. Patients have usually tried various tranquillizers and sleep medications. At best, these provide short-term help, but rarely do they help in the long term. In addition, many of the currently available tranquillizers have a significant risk of addiction. Thus sleep is probably one of the most difficult secondary problems to treat successfully.

Peace in Pain

Peace in Pain

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