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What are the Distinguishing Features of the Disease, Chronic Pain?

1. Pain persists longer than anticipated time of recovery.

2. Pain spreads beyond the bounds of the original site of injury.

3. Sleep is disordered with worsening pain at night and nocturnal tremors (myoclonus and restless legs).

4. Appetite is disordered, sometimes with anorexia and weight loss but more often with ravenous appetite, sweet cravings, and weight gain.

5. Fatigue is pervasive.

6. Mood is disordered, usually with despondency and depression, but sometimes restless hyperactivity.

7. Memory is disordered, e.g., the “mind fog” of fibromyalgia.

8. Thought is disordered with obsessive focus on pain, and sometimes suicidal ideation.