The incidence of chronic post-surgical pain (CPSP) is at an increase, with increase in the number of surgeries being performed. The first publication that identified surgery as a risk factor for chronic pain appeared in 1998. This finding led to a dramatic increase in interest on this subject.
Neuropathic pain is a multidimensional entity that continues to present a challenge to medical professionals with regards to its diagnosis and management. In recent years there has been an emphasis on the use of pain descriptors to aid diagnosis, but the lack of pathognomonic terms and overlap of descriptors between neuropathic and nociceptive pain conditions means that neuropathic pain continues to be poorly recognised and under-treated.
Myofascial pain is one of the most overlooked and ignored sources of acute and chronic pain, and at the same time, constitutes one of the most common causes of musculoskeletal pain. Myofascial pain is characterized by the presence of myofascial trigger points (TrPs).
Pain in the region of the coccyx is referred to as coccygodynia. Despite being recognised for many centuries, coccydynia remains an unsolved mystery because of the perceived uncertainty in identifying the origin of the pain.
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