Pain Improves During First Year But Mental-Health Problems Linger





Returning veterans with major limb injuries
Veterans who sustained major limb injuries during combat reported little improvement in symptoms of depression, anxiety, post-traumatic stress disorder (PTSD) and other mental-health problems up to 2 years post injury, according to research presented today. In contrast, pain showed the most improvement 3-6 months after acute hospitalization, and then leveled off after 1 year. The investigative team, led by Rollin M. Gallagher, MD, MPH, reported results during a poster session at the 29th Annual Meeting of the American Academy of Pain Medicine.
“Our research confirms that chronic daily pain, including neuropathic pain, continues to be a burden for limb-injured servicemen, that post-traumatic stress is a far more prominent feature of recovery than in other chronic pain populations, and that returning to meaningful role functioning in their lives is challenging for many,” said Dr. Gallagher, deputy national program director for pain management in the Department of Veterans Affairs and clinical professor of psychiatry and anesthesiology at the University of Pennsylvania and the Philadelphia VA Medical Center.
The researchers said surprisingly few studies have examined short- and long-term pain-related and behavioral-health outcomes in returning military personnel with major limb trauma
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