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Development of interdisciplinary spinal interventional pain centers.

Marcy T Rogers1

  • 1Management Technology Resources, 8910 University Center Lane, Suite 270, San Diego CA 92122, USA. marcyrogers@mtr-apm.com

Pain Physician
|July 28, 2006
PubMed
Summary

Spinal pain affects most adults, leading to numerous surgeries and procedures. An integrated, multidisciplinary approach through a spinal pain center is crucial for effective patient management and reducing the burden of chronic pain.

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Area of Science:

  • Pain Management
  • Spine Surgery
  • Rehabilitation

Background:

  • High lifetime prevalence of spinal pain (65%-80%) in neck and low back affects a significant portion of the population.
  • Substantial healthcare utilization in the US, with 500,000-1,000,000 spine surgeries and 2-5 million interventional procedures annually.
  • The immense burden of chronic pain on patients and society necessitates comprehensive assessment and treatment strategies.

Purpose of the Study:

  • To address the somatic, psychological, and physical aspects of pain.
  • To review existing treatment options and their limitations.
  • To propose a model for establishing and operating successful interdisciplinary spinal pain centers.

Main Methods:

  • Review of various pain syndromes and conditions.

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  • Identification of essential resources, guidelines, and infrastructure for pain centers.
  • Development of a model for an interdisciplinary pain center.

    • Main Results:

    • No single treatment modality offers conclusive evidence for effectiveness.
    • Optimal care requires an integrated delivery system with diverse specialists.
    • A multidisciplinary approach within a spinal diagnostic and interdisciplinary pain center is recommended.

    Conclusions:

    • Patients with complex spinal pain benefit most from a multidisciplinary approach.
    • The establishment of interdisciplinary pain centers is vital for comprehensive patient care.
    • This review provides a framework for creating effective pain management centers in various settings.