JOURNAL OF IQRO – ЖУРНАЛ ИҚРО – IQRO JURNALI – olume 18, issue 02, 2025
ISSN: 2181-4341, IMPACT FACTOR ( RESEARCH BIB ) – 7,245, SJIF – 5,431
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T ainee Assis an a Sama kand S a e Medical Uni e si y
Supe iso : Asa ullaye Rus amjon Bax iya o ich
S uden : Asa o a Se inch Ab o qizi
CHRONIC PAIN
Abs ac : Ch onic pain is one o he mos common heal h p oblems wo ldwide, signi ican ly
a ec ing quali y o li e and p oduc i i y. Unlike acu e pain, which se es as a na u al esponse o
inju y o illness, ch onic pain pe sis s o mon hs o e en yea s, o en wi hou a clea cause. This
a icle explo es he na u e, causes, and managemen o ch onic pain, ocusing on he impo ance
o ea ly diagnosis and mul idisciplina y ea men .
In oduc ion
Pain is a complex physiological and psychological expe ience. While acu e pain ac s as a
p o ec i e mechanism, ch onic pain is a pe sis en condi ion ha se es no biological pu pose. I
is gene ally de ined as pain las ing longe han h ee o six mon hs. Ch onic pain may esul om
a ious condi ions such as a h i is, ne e damage, cance , o musculoskele al diso de s.
Causes o Ch onic Pain
The causes o ch onic pain a e mul i ac o ial. They can include:
1. Inju y o Su ge y: Tissue o ne e damage a e auma o ope a ion.
2. Ne e Dys unc ion: Abno mal ne e signaling leading o neu opa hic pain.
3. Ch onic Diseases: Condi ions like diabe es, a h i is, o cance can igge ongoing pain.
4. Psychological Fac o s: S ess, dep ession, and anxie y can in ensi y pain pe cep ion.
Ch onic pain o en in ol es changes in bo h he pe iphe al and cen al ne ous sys ems, leading
o heigh ened pain sensi i i y (hype algesia).
Types o Ch onic Pain
Nocicep i e pain: Caused by issue damage o in lamma ion (e.g., a h i is).
Neu opa hic pain: Caused by ne e inju y o dys unc ion (e.g., diabe ic neu opa hy).
Psychogenic pain: Associa ed wi h psychological o emo ional ac o s.
Mixed pain: Combina ion o bo h nocicep i e and neu opa hic mechanisms.
Diagnosis
JOURNAL OF IQRO – ЖУРНАЛ ИҚРО – IQRO JURNALI – olume 18, issue 02, 2025
ISSN: 2181-4341, IMPACT FACTOR ( RESEARCH BIB ) – 7,245, SJIF – 5,431
www.wo dlyknowledge.uz ILMIY METODIK JURNAL
Diagnosing ch onic pain equi es a de ailed medical his o y, physical examina ion, and
some imes imaging o labo a o y es s. Ques ionnai es like he Visual Analogue Scale (VAS) and
McGill Pain Ques ionnai e a e used o assess pain in ensi y and quali y.
T ea men and Managemen
E ec i e managemen equi es a mul idisciplina y app oach, including:
Medica ions: Analgesics, nons e oidal an i-in lamma o y d ugs (NSAIDs), an idep essan s, and
an icon ulsan s.
Physical he apy: Exe cises o imp o e mobili y and educe s i ness.
Psychological he apy: Cogni i e beha io al he apy (CBT) helps pa ien s cope wi h emo ional
dis ess.
Li es yle changes: Heal hy die , sleep hygiene, and s ess educ ion.
In e en ional p ocedu es: Ne e blocks, spinal co d s imula ion, o su ge y in se e e cases.
Pa ien educa ion and emo ional suppo play a key ole in long- e m managemen .
Conclusion
Ch onic pain is no only a medical issue bu also a social and psychological one. Unde s anding
i s causes and mechanisms is essen ial o e ec i e ea men . Ea ly diagnosis, a pe sonalized
ea men plan, and coope a ion be ween doc o s and pa ien s can signi ican ly imp o e quali y o
li e.
Re e ences
1. T eede, R.-D., e al. (2019). Ch onic pain as a symp om o a disease: The IASP classi ica ion.
Pain, 160(1), 19–27.
2. Goldbe g, D. S., & McGee, S. J. (2011). Pain as a global public heal h p io i y. BMC Public
Heal h, 11, 770.
3. Tu k, D. C., & Oki uji, A. (2002). Psychological ac o s in ch onic pain: E olu ion and
e olu ion. Jou nal o Consul ing and Clinical Psychology, 70(3), 678–690.
4. Apka ian, A. V., Baliki, M. N., & Geha, P. Y. (2009). Towa ds a heo y o ch onic pain. in
Neu obiology, 87(2), 81–97
