Reply To: Good article on chronic pain
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There could be different causes for the pain in different cases. Nerves don’t always heal, or they may heal poorly (neuroma, etc.) Scar tissue can be persistent and cause pain. The pain centralization you mentioned may play a part as well in some cases, but that’s essentially a type nervous system damage – a domino effect caused by surgical trauma.
Once damage is done, one thing can lead to another in complex ways which vary from case to case. That’s the reason it’s critical to minimize the number of surgeries (zero is best!), and make them the least extensive and least traumatic as possible. Unfortunately, many surgeons aren’t careful enough.