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[Pain centers--why and when?].
Anders Schou Olesen1, Ole Hjort Jensen
1Aalborg Sygehus Syd, Tvaerfagligt Smertecenter, Aalborg. an.anders@nja.dk
Ugeskrift for Laeger
|June 14, 2006
Summary
Approximately 20% of Danes experience chronic pain. This study categorizes chronic pain patients, recommending multidisciplinary pain centers for those with bio-psycho-social origins, excluding those with untreated somatic disease or major psychiatric issues.
Area of Science:
- Pain Medicine
- Psychology
- Rehabilitation
Background:
- Chronic pain affects approximately 20% of the Danish population, lasting over six months.
- The bio-psycho-social origin of chronic pain is conceptualized by Melzack's Neuromatrix theory.
- Patient categorization is essential for effective chronic pain management.
Purpose of the Study:
- To categorize chronic pain patients based on their bio-psycho-social origins.
- To define criteria for referral to multidisciplinary pain centers.
- To outline treatment approaches available at pain centers.
Main Methods:
- Conceptual model application (Neuromatrix theory).
- Patient categorization into three groups.
- Description of multidisciplinary pain center services (coping, pacing, medical, physiotherapy, social work).
Main Results:
- Three categories of chronic pain patients were identified.
- Referral to multidisciplinary pain centers is recommended for specific patient groups.
- Exclusion criteria for pain center referral were established, including untreated somatic disease, lack of motivation, analgesic abuse, and severe psychiatric conditions.
Conclusions:
- Effective management of chronic pain requires patient-specific approaches.
- Multidisciplinary pain centers offer specialized treatments for selected chronic pain patients.
- Careful patient selection is crucial for optimizing outcomes in pain management programs.