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Interdisciplinary chronic pain management

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TLDR
The history of pain management is reviewed, the major components of a "true" interdisciplinary pain management program are discussed, and the evidence-based outcomes that have documented the effectiveness of such interciplinary pain management programs are focused on.
Abstract
Chronic pain is a significant and costly problem in the United States as well as throughout the industrialized world. Unfortunately, there have been concerns about the effectiveness of traditional medical interventions, suggesting the need for alternative chronic pain treatment strategies. However, the introduction of the biopsychosocial model of pain during the past decade stimulated the development of more therapeutically effective and cost-effective interdisciplinary chronic pain management programs. In the present article we briefly review the history of pain management, discuss the major components of a "true" interdisciplinary pain management program, focus on the evidence-based outcomes that have documented the effectiveness of such interdisciplinary pain management programs, and note the barriers that have blocked the wider use of such programs. Finally, we discuss future directions in interdisciplinary pain management.

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Citations
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Journal ArticleDOI

Nonpharmacologic Therapies for Low Back Pain: A Systematic Review for an American College of Physicians Clinical Practice Guideline

TL;DR: The current evidence on benefits and harms of medications for low back pain is reviewed, including acetaminophen, NSAIDs, opioids, tramadol and tapentadol, antidepressants, skeletal muscle relaxants, benzodiazepines, corticosteroids, and antiseizure medications.
Journal ArticleDOI

The Role of Psychosocial Processes in the Development and Maintenance of Chronic Pain.

TL;DR: Evidence that psychosocial variables play key roles in conferring risk for the development of pain, in shaping long-term pain-related adjustment, and in modulating pain treatment outcomes is described.
Journal ArticleDOI

Chronic pain: an update on burden, best practices, and new advances

TL;DR: The biopsychosocial model of chronic pain this paper presents physical symptoms as the denouement of a dynamic interaction between biological, psychological, and social factors, which can be classified as nociceptive (from tissue injury), neuropathic (from nerve injury), or nociplastic (from a sensitised nervous system).
Journal ArticleDOI

Evaluating Psychosocial Contributions to Chronic Pain Outcomes

TL;DR: A diverse array of psychological, social, and contextual factors are presented and the need to consider their roles in the development, maintenance, and treatment of chronic pain conditions is highlighted.
Journal ArticleDOI

Cannabinoids and Pain: New Insights From Old Molecules

TL;DR: The evidence from current research supports the use of medical cannabis in the treatment of chronic pain in adults and calls for larger well-designed studies to determine the long-term efficacy and long- term safety of cannabis/cannabinoids.
References
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Randomized controlled trial.

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Pain mechanisms: a new theory.

Ronald Melzack, +1 more
- 19 Nov 1965 - 
Journal ArticleDOI

Pain mechanisms: A new theory

Ronald Melzack, +1 more
- 01 Mar 1996 - 
Journal ArticleDOI

The Biopsychosocial Approach to Chronic Pain: Scientific Advances and Future Directions

TL;DR: A review of the basic neuroscience processes of pain (the bio part of biopsychosocial, as well as the psychosocial factors, is presented) and on the development of new technologies, such as brain imaging, that provide new insights into brain-pain mechanisms.
Journal ArticleDOI

Relieving pain in america: a blueprint for transforming prevention, care, education, and research

TL;DR: The National Academy of Sciences through its Institute of Medicine (IOM) has produced a major scholarly assessment of pain in America as mentioned in this paper, which is a tremendous contribution to the evolving nec...
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