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Chronic pain management in spine disorders
1Section of Pain Medicine, Neurological Institute, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA. covinge@ccf.org
Neurologic Clinics
|April 21, 2007
Summary
Chronic nonmalignant pain is a disease itself, not just a symptom. Effective treatment focuses on neural amplification, psychological factors, and deconditioning, leading to favorable outcomes.
Area of Science:
- Pain Medicine
- Neurology
- Psychiatry
Background:
- Chronic nonmalignant pain is increasingly recognized as a distinct disease entity.
- Traditional approaches focusing solely on underlying pathology are often insufficient.
Purpose of the Study:
- To reframe the understanding of chronic nonmalignant pain.
- To highlight effective treatment strategies beyond symptom management.
Main Methods:
- This study synthesizes current understanding of chronic pain mechanisms.
- It emphasizes a multidisciplinary approach to treatment.
Main Results:
- Successful pain management requires addressing neural amplification, psychological disability, and deconditioning.
- Treatment outcomes are significantly improved with this comprehensive approach.
Conclusions:
- Chronic nonmalignant pain should be treated as a disease in its own right.
- A holistic treatment strategy yields favorable patient outcomes.
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