Smertestigning

Smertestigning is a term used in pain management to describe a phenomenon where pain intensifies over time. This escalation can occur despite ongoing treatment, suggesting a potential breakdown in the efficacy of current pain management strategies or an underlying progression of the pain's cause. It is distinct from normal fluctuations in pain intensity, which are common and expected.

The causes of smertestigning are multifaceted and can include changes in the pathology of the condition causing the pain, alterations in the patient's perception of pain, or the development of tolerance to pain medications. Psychological factors, such as increased anxiety or depression, can also contribute to the subjective experience of escalating pain.

Identifying and addressing smertestigning is crucial for effective pain management. This often involves a reassessment of the pain diagnosis, a review of the current treatment plan, and potentially the introduction of new therapeutic approaches. These might include pharmacological adjustments, the incorporation of non-pharmacological interventions like physical therapy or psychological support, or exploring interventional pain procedures. Early recognition allows for more timely and effective intervention, aiming to prevent further deterioration of the patient's quality of life.