{"id":527,"date":"2026-02-05T12:59:02","date_gmt":"2026-02-05T12:59:02","guid":{"rendered":"https:\/\/surgerywebtemp.org.uk\/a83011\/?page_id=527"},"modified":"2026-02-12T09:22:42","modified_gmt":"2026-02-12T09:22:42","slug":"chronic-pain","status":"publish","type":"page","link":"https:\/\/surgerywebtemp.org.uk\/a83011\/chronic-pain\/","title":{"rendered":"Chronic Pain"},"content":{"rendered":"<p data-block-key=\"abd47\">Chronic pain (sometimes known as long-term pain or persistent pain) is pain that lasts for more than 3\u00a0months. Pain can be secondary to (caused by) an underlying condition (for example, osteoarthritis, rheumatoid arthritis, ulcerative colitis, endometriosis).\u00a0Chronic pain can also be primary. Chronic primary pain has no clear underlying condition or the pain (or its impact) appears to be out of proportion to any observable injury or disease.\u00a0 The mechanisms underlying chronic primary pain are only partially understood and the definitions are fairly new. All forms of pain can cause distress and disability, but these features are particularly prominent in presentations of chronic primary pain.\u00a0 Unfortunately painkillers don\u2019t work well for chronic non-cancer pain and can lead to considerable side effects, tolerance and addiction.<\/p>\n<p data-block-key=\"8e67l\">Please book an appointment with a GP to discuss further if you are struggling with chronic pain.\u00a0 You may find it helpful to read the following leaflet before the appointment to help both you and the doctor to make the most of the appointment; see:<\/p>\n<p data-block-key=\"8e67l\"><a class=\"nhsuk-action-link\" href=\"https:\/\/www.england.nhs.uk\/wp-content\/uploads\/2024\/09\/PRN00675-ii-making-decisions-to-help-you-live-well-with-chronic-primary-pain.pdf\" target=\"_blank\">\n\t\t\t\t<svg class=\"nhsuk-icon nhsuk-icon--arrow-right-circle\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 24 24\" width=\"16\" height=\"16\" focusable=\"false\" aria-hidden=\"true\">\n\t\t\t\t<path d=\"M12 2a10 10 0 0 0-10 9h11.7l-4-4a1 1 0 0 1 1.5-1.4l5.6 5.7a1 1 0 0 1 0 1.4l-5.6 5.7a1 1 0 0 1-1.5 0 1 1 0 0 1 0-1.4l4-4H2A10 10 0 1 0 12 2z\"\/>\n\t\t\t<\/svg>\n\t\t\t\t<span class=\"nhsuk-action-link__text\">NHS-England-making-decisions-to-help-you-live-well-with-chronic-primary-pain.pdf<\/span>\n\t\t\t<\/a><\/p>\n<p data-block-key=\"7rml1\"><strong>So what can we offer to patients with chronic non-cancer pain?<\/strong><\/p>\n<h2 data-block-key=\"34r51\"><b>Education about managing chronic pain for patients or their carers;<\/b><\/h2>\n<p data-block-key=\"7g6cq\">Understanding what pain is and how it can be managed better is key.\u00a0 Have a look at the following resources;<\/p>\n<p data-block-key=\"7g6cq\"><a class=\"nhsuk-action-link\" href=\"https:\/\/livewellwithpain.co.uk\/what-is-self-management\/\" target=\"_blank\">\n\t\t\t\t<svg class=\"nhsuk-icon nhsuk-icon--arrow-right-circle\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 24 24\" width=\"16\" height=\"16\" focusable=\"false\" aria-hidden=\"true\">\n\t\t\t\t<path d=\"M12 2a10 10 0 0 0-10 9h11.7l-4-4a1 1 0 0 1 1.5-1.4l5.6 5.7a1 1 0 0 1 0 1.4l-5.6 5.7a1 1 0 0 1-1.5 0 1 1 0 0 1 0-1.4l4-4H2A10 10 0 1 0 12 2z\"\/>\n\t\t\t<\/svg>\n\t\t\t\t<span class=\"nhsuk-action-link__text\">Self Management Skills - Live well with pain<\/span>\n\t\t\t<\/a><\/p>\n<a class=\"nhsuk-action-link\" href=\"https:\/\/livewellwithpain.co.uk\/ten-footsteps-programme\/\" target=\"_blank\">\n\t\t\t\t<svg class=\"nhsuk-icon nhsuk-icon--arrow-right-circle\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 24 24\" width=\"16\" height=\"16\" focusable=\"false\" aria-hidden=\"true\">\n\t\t\t\t<path d=\"M12 2a10 10 0 0 0-10 9h11.7l-4-4a1 1 0 0 1 1.5-1.4l5.6 5.7a1 1 0 0 1 0 1.4l-5.6 5.7a1 1 0 0 1-1.5 0 1 1 0 0 1 0-1.4l4-4H2A10 10 0 1 0 12 2z\"\/>\n\t\t\t<\/svg>\n\t\t\t\t<span class=\"nhsuk-action-link__text\">Ten Footsteps Programme - Live well with pain<\/span>\n\t\t\t<\/a>\n<p data-block-key=\"e9t2n\"><b>CBT or Counselling<\/b> can be really helpful for managing negative thoughts associated with pain or any mental health problems<\/p>\n<p data-block-key=\"6bpgp\">You can self-refer to NHS talking therapies at:<\/p>\n<p data-block-key=\"6bpgp\"><a class=\"nhsuk-action-link\" href=\"https:\/\/www.talkingchanges.org.uk\/\" target=\"_blank\">\n\t\t\t\t<svg class=\"nhsuk-icon nhsuk-icon--arrow-right-circle\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 24 24\" width=\"16\" height=\"16\" focusable=\"false\" aria-hidden=\"true\">\n\t\t\t\t<path d=\"M12 2a10 10 0 0 0-10 9h11.7l-4-4a1 1 0 0 1 1.5-1.4l5.6 5.7a1 1 0 0 1 0 1.4l-5.6 5.7a1 1 0 0 1-1.5 0 1 1 0 0 1 0-1.4l4-4H2A10 10 0 1 0 12 2z\"\/>\n\t\t\t<\/svg>\n\t\t\t\t<span class=\"nhsuk-action-link__text\">Home - Talking Changes<\/span>\n\t\t\t<\/a> or by calling <a href=\"tel:+441913333300\">0191 333 3300<\/a><\/p>\n<h2 data-block-key=\"fp6cu\"><b>Support from one of our Social Prescribing Team<\/b><\/h2>\n<p data-block-key=\"8jdua\">Our social prescribing team can support you through the challenges of living with pain and advise regarding local services and support groups. \u00a0Call reception and have a look at our website at:<\/p>\n<ul class=\"nhsuk-grid-row nhsuk-card-group\">\n\t\t\t<li class=\"nhsuk-grid-column-two-thirds nhsuk-card-group__item\">\n\t\t\t\t<div class=\"nhsuk-card nhsuk-card--clickable\">\n\t\t\t\t\t<div class=\"nhsuk-card__content nhsuk-card__content--primary\">\n\t\t\t\t\t\t<h2 class=\"nhsuk-card__heading nhsuk-heading-m\">\n\t\t\t\t\t\t\t<a class=\"nhsuk-card__link\" href=\"https:\/\/surgerywebtemp.org.uk\/a83011\/social-prescribing\/\">Claypath Social Prescribing Team<\/a>\n\t\t\t\t\t\t<\/h2><svg class=\"nhsuk-icon nhsuk-icon--chevron-right-circle\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 24 24\" width=\"16\" height=\"16\" focusable=\"false\" aria-hidden=\"true\">\n<path d=\"M12 2a10 10 0 1 1 0 20 10 10 0 0 1 0-20Zm-.3 5.8a1 1 0 1 0-1.5 1.4l2.9 2.8-2.9 2.8a1 1 0 0 0 1.5 1.4l3.5-3.5c.4-.4.4-1 0-1.4Z\"><\/path>\n<\/svg>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/li>\n\t\t<\/ul>\n<h2 data-block-key=\"akqit\"><b>Referral to the Community Pain Service<\/b><\/h2>\n<p data-block-key=\"abu99\">Your GP may refer you to our local Community Pain Service \u2013 their website is:<\/p>\n<p data-block-key=\"abu99\"><a class=\"nhsuk-action-link\" href=\"https:\/\/www.connecthealth.co.uk\/services\/durham\/\" target=\"_blank\">\n\t\t\t\t<svg class=\"nhsuk-icon nhsuk-icon--arrow-right-circle\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 24 24\" width=\"16\" height=\"16\" focusable=\"false\" aria-hidden=\"true\">\n\t\t\t\t<path d=\"M12 2a10 10 0 0 0-10 9h11.7l-4-4a1 1 0 0 1 1.5-1.4l5.6 5.7a1 1 0 0 1 0 1.4l-5.6 5.7a1 1 0 0 1-1.5 0 1 1 0 0 1 0-1.4l4-4H2A10 10 0 1 0 12 2z\"\/>\n\t\t\t<\/svg>\n\t\t\t\t<span class=\"nhsuk-action-link__text\">Durham - Connect Health<\/span>\n\t\t\t<\/a><\/p>\n<h2 data-block-key=\"3b8au\"><b>Exercise Guidance and Support<\/b><\/h2>\n<p data-block-key=\"cgme0\">Keeping up exercise is really important for general health and for tackling chronic pain.\u00a0\u00a0 The following website has useful guides to exercising for a variety of conditions:<\/p>\n<p data-block-key=\"cgme0\"><a class=\"nhsuk-action-link\" href=\"https:\/\/movingmedicine.ac.uk\/consultation-guides\/patient-info-finder\/\" target=\"_blank\">\n\t\t\t\t<svg class=\"nhsuk-icon nhsuk-icon--arrow-right-circle\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 24 24\" width=\"16\" height=\"16\" focusable=\"false\" aria-hidden=\"true\">\n\t\t\t\t<path d=\"M12 2a10 10 0 0 0-10 9h11.7l-4-4a1 1 0 0 1 1.5-1.4l5.6 5.7a1 1 0 0 1 0 1.4l-5.6 5.7a1 1 0 0 1-1.5 0 1 1 0 0 1 0-1.4l4-4H2A10 10 0 1 0 12 2z\"\/>\n\t\t\t<\/svg>\n\t\t\t\t<span class=\"nhsuk-action-link__text\">Patient info finder - Moving Medicine<\/span>\n\t\t\t<\/a><\/p>\n<p data-block-key=\"d8nu8\">You can also self-refer to local NHS physio therapy services here:<\/p>\n<p data-block-key=\"d8nu8\"><a class=\"nhsuk-action-link\" href=\"https:\/\/www.cddft.nhs.uk\/services\/physiotherapy\/self-referral\" target=\"_blank\">\n\t\t\t\t<svg class=\"nhsuk-icon nhsuk-icon--arrow-right-circle\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 24 24\" width=\"16\" height=\"16\" focusable=\"false\" aria-hidden=\"true\">\n\t\t\t\t<path d=\"M12 2a10 10 0 0 0-10 9h11.7l-4-4a1 1 0 0 1 1.5-1.4l5.6 5.7a1 1 0 0 1 0 1.4l-5.6 5.7a1 1 0 0 1-1.5 0 1 1 0 0 1 0-1.4l4-4H2A10 10 0 1 0 12 2z\"\/>\n\t\t\t<\/svg>\n\t\t\t\t<span class=\"nhsuk-action-link__text\">County Durham and Darlington - Self Referral to Physiotherapy (cddft.nhs,uk)<\/span>\n\t\t\t<\/a><\/p>\n<h2 data-block-key=\"81cut\"><b>Improving Sleep<\/b><\/h2>\n<p data-block-key=\"427lo\">Doing everything you can to improve sleep quality can be helpful. \u00a0Sleeping tablets are not usually advised but there are a number of things that can help improve sleep; see:<\/p>\n<p data-block-key=\"427lo\"><a class=\"nhsuk-action-link\" href=\"https:\/\/www.nhs.uk\/conditions\/insomnia\/\" target=\"_blank\">\n\t\t\t\t<svg class=\"nhsuk-icon nhsuk-icon--arrow-right-circle\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 24 24\" width=\"16\" height=\"16\" focusable=\"false\" aria-hidden=\"true\">\n\t\t\t\t<path d=\"M12 2a10 10 0 0 0-10 9h11.7l-4-4a1 1 0 0 1 1.5-1.4l5.6 5.7a1 1 0 0 1 0 1.4l-5.6 5.7a1 1 0 0 1-1.5 0 1 1 0 0 1 0-1.4l4-4H2A10 10 0 1 0 12 2z\"\/>\n\t\t\t<\/svg>\n\t\t\t\t<span class=\"nhsuk-action-link__text\">Insomnia - NHS (www.nhs.uk)<\/span>\n\t\t\t<\/a><\/p>\n<h2 data-block-key=\"5radr\"><b>Other useful resources;<\/b><\/h2>\n<a class=\"nhsuk-action-link\" href=\"https:\/\/livewellwithpain.co.uk\/\" target=\"_blank\">\n\t\t\t\t<svg class=\"nhsuk-icon nhsuk-icon--arrow-right-circle\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 24 24\" width=\"16\" height=\"16\" focusable=\"false\" aria-hidden=\"true\">\n\t\t\t\t<path d=\"M12 2a10 10 0 0 0-10 9h11.7l-4-4a1 1 0 0 1 1.5-1.4l5.6 5.7a1 1 0 0 1 0 1.4l-5.6 5.7a1 1 0 0 1-1.5 0 1 1 0 0 1 0-1.4l4-4H2A10 10 0 1 0 12 2z\"\/>\n\t\t\t<\/svg>\n\t\t\t\t<span class=\"nhsuk-action-link__text\">Home - Live well with pain<\/span>\n\t\t\t<\/a>\n<a class=\"nhsuk-action-link\" href=\"https:\/\/www.flippinpain.co.uk\/understanding-pain\/\" target=\"_blank\">\n\t\t\t\t<svg class=\"nhsuk-icon nhsuk-icon--arrow-right-circle\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 24 24\" width=\"16\" height=\"16\" focusable=\"false\" aria-hidden=\"true\">\n\t\t\t\t<path d=\"M12 2a10 10 0 0 0-10 9h11.7l-4-4a1 1 0 0 1 1.5-1.4l5.6 5.7a1 1 0 0 1 0 1.4l-5.6 5.7a1 1 0 0 1-1.5 0 1 1 0 0 1 0-1.4l4-4H2A10 10 0 1 0 12 2z\"\/>\n\t\t\t<\/svg>\n\t\t\t\t<span class=\"nhsuk-action-link__text\">Undertanding Pain - Flippin Pain (flippinpain.co.uk)<\/span>\n\t\t\t<\/a>\n<a class=\"nhsuk-action-link\" href=\"https:\/\/painkillersdontexist.com\/\" target=\"_blank\">\n\t\t\t\t<svg class=\"nhsuk-icon nhsuk-icon--arrow-right-circle\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 24 24\" width=\"16\" height=\"16\" focusable=\"false\" aria-hidden=\"true\">\n\t\t\t\t<path d=\"M12 2a10 10 0 0 0-10 9h11.7l-4-4a1 1 0 0 1 1.5-1.4l5.6 5.7a1 1 0 0 1 0 1.4l-5.6 5.7a1 1 0 0 1-1.5 0 1 1 0 0 1 0-1.4l4-4H2A10 10 0 1 0 12 2z\"\/>\n\t\t\t<\/svg>\n\t\t\t\t<span class=\"nhsuk-action-link__text\">Pain Killers Dont Exist (painkillersdontexist.com)<\/span>\n\t\t\t<\/a>\n","protected":false},"excerpt":{"rendered":"<p>Chronic pain (sometimes known as long-term pain or persistent pain) is pain that lasts for more than 3\u00a0months. Pain can be secondary to (caused by)&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-527","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/surgerywebtemp.org.uk\/a83011\/wp-json\/wp\/v2\/pages\/527","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/surgerywebtemp.org.uk\/a83011\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/surgerywebtemp.org.uk\/a83011\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/surgerywebtemp.org.uk\/a83011\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/surgerywebtemp.org.uk\/a83011\/wp-json\/wp\/v2\/comments?post=527"}],"version-history":[{"count":0,"href":"https:\/\/surgerywebtemp.org.uk\/a83011\/wp-json\/wp\/v2\/pages\/527\/revisions"}],"wp:attachment":[{"href":"https:\/\/surgerywebtemp.org.uk\/a83011\/wp-json\/wp\/v2\/media?parent=527"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}