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Comment & Response |

Pain Terminology—Reply

Neil L. Schechter, MD1
[+] Author Affiliations
1Chronic Pain Program, Pain Treatment Service, Department of Anesthesiology, Perioperative, and Pain Medicine, Boston Children’s Hospital, Boston, Massachusetts
JAMA Pediatr. 2014;168(12):1168. doi:10.1001/jamapediatrics.2014.1778.
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In Reply I appreciate the responses of Drs Oaklander and Sherry. Both of them agree with me in abandoning the term functional pain, which I perceive to be inappropriately burdened by the mantle of psychogenesis.1 Although they both disagree with the term that I have proposed as an alternative, primary pain disorders, they state opposing grounds for their objections. Dr Oaklander suggests the term implies too much, intimating an understanding of these entities that may be premature, and offers medically unexplained pain instead. Alternatively, Dr Sherry states that this term offers too little, that it merely reiterates the patient has pain and offers no further illumination. He feels the term amplified pain syndrome is more appropriate. Needless to say, I disagree with their recommendations.


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December 1, 2014
Anne Louise Oaklander, MD, PhD
1Nerve Injury Unit, Departments of Neurology and Pathology (Neuropathology), Massachusetts General Hospital, Boston2Harvard Medical School, Boston, Massachusetts
JAMA Pediatr. 2014;168(12):1167. doi:10.1001/jamapediatrics.2014.1775.
December 1, 2014
David D. Sherry, MD
1Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania2Perelman School of Medicine at the University of Pennsylvania, Philadelphia
JAMA Pediatr. 2014;168(12):1167-1168. doi:10.1001/jamapediatrics.2014.1784.
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