Recommendation (evidence) |
What to say to your patient State the reason for the referral (why is the patient here) (E1+E2) State that you can exclude the surgical cause, and explain why (E1+E2) State that this does not mean that there is no reason for their pain (E1+E2) If you suspect that this could be nociplastic pain, then explain this to the patient and provide them with a nociplastic pain information leaflet4 (E1+E2)
What to include in the clinic letter Mention suspected nociplastic pain or FMS within the clinic letter. This will provide important information to other healthcare professionals (E2) Clarify that the specific surgical cause for their pain has been excluded (E1+E2)
What not to say to your patient ‘There is no reason for your pain’ (E1+E2) ‘There is nothing wrong with you’ or ‘I can't find anything wrong with you’ (E1+E2) ‘It is all in your head’ (E1+E2) ‘It is psychological’ (E1+E2) ‘There is nothing we can do’, without providing further information (E1+E2) ‘There is nothing anyone can do’ (E1+E2)
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