UMEM Educational Pearls

Title: Chronic Pain after trauma

Category: Trauma

Keywords: trauma, chronic pain, (PubMed Search)

Posted: 4/4/2026 by Robert Flint, MD (Updated: 4/23/2026)
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This narrative review of the trauma literature looking at chronic pain after trauma found: 

  1. Chronic pain occurs in 30–70% of trauma survivors, with prevalence varying by injury type. 
  2. Key risk factors include female sex, younger age, pre-existing pain, psychological distress, and social disadvantage. 
  3. Validated prediction models are available for musculoskeletal trauma
  4. Thoracic trauma is under represented in the pain literature, is often underrecognized, and less protocols are available for treatment
  5. Thoracic pain typically occurs through intercostal nerve damage and persistent pain following thoracic injury
  6. The authors suggest “A trauma-specific, biopsychosocial approach is key to reducing chronic pain and improving recovery.”

References

Kussé M, Hans G, Saldien V, Wildemeersch D. Chronic pain following major trauma: Prevalence, predictive models, and risk factors across common injury types. Trauma. 2026;0(0). doi:10.1177/14604086251404750