Pain and suffering is a term used to describe the injuries you have suffered. It is used to explain what problems you experienced after your accident or medical wrongdoing.
When we talk about "Past" and "Future" pain and suffering we refer to the different time periods you are experiencing or have experienced your injuries and damages.
In other words, when we talk about past pain and suffering, it refers to the time your incident happened up until the time of a jury verdict. When we use the term "Future pain and suffering" it refers to the pain and suffering you will likely have from the time of the jury verdict into the forseeable future.
In order to support your claim of pain and suffering it is often helpful to bring in your treating doctors to explain to the jury just how your injuries affect you and your daily activities.
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