[Anesthesiologist and chronic pain]

Effective therapy of chronic frequently recurring pain is a complex important problem from practical medical, social, and economic viewpoints. Organization of specialized "pain clinics" and pain control centers is discussed. These institutions will take care of patients with chronic pain syndromes. The role of anesthesiologists and reanimatologists at such clinics is analyzed. Experience gained at department of therapy of painful syndromes at the Russian Center of Surgery of the Russian Academy of Medical Sciences and the Integrative Medicine Center attached to it is reviewed. The authors offer recommendations on the use of traditional and nontraditional methods of pain relief. New highly effective integrative diagnostic methods (computer pulsometry) and therapies (resonance electropuncture analgesia and therapy) are used in various pain syndromes, including chronic frequently relapsing, which are usually resistant to common methods. Integrative methods of clinical reflex therapy create conditions for replacing traumatic surgical and radiological methods used in the treatment of critically ill patients by methods of integrative medicine.