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Chronic pain.

James P Robinson1

  • 1Department of Rehabilitation Medicine, Box 356490, University of Washington, Seattle, WA 98195, USA. jimrob@u.washington.edu

Physical Medicine and Rehabilitation Clinics of North America
|October 31, 2007
PubMed
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Physiatrists can effectively manage chronic pain using a specialized approach. This article guides non-pain specialists on pain epidemiology, pathophysiology, assessment, and treatments for common patient groups.

Area of Science:

  • Pain Medicine
  • Physical Medicine and Rehabilitation

Background:

  • Chronic pain is prevalent in patient populations managed by physiatrists.
  • The physiatric approach offers a relevant framework for pain management.
  • Many physiatrists do not specialize in pain management, necessitating targeted educational content.

Purpose of the Study:

  • To provide physiatrists who do not specialize in pain management with essential knowledge for treating chronic pain patients.
  • To outline the epidemiology of pain within physiatric patient groups.
  • To review the pathophysiologic underpinnings, assessment strategies, and selected treatments for chronic pain.

Main Methods:

  • Literature review and synthesis of current knowledge on chronic pain.
  • Discussion of epidemiological data relevant to physiatric practice.

Related Experiment Videos

  • Overview of pathophysiologic mechanisms of chronic pain.
  • Description of assessment tools and techniques for chronic pain evaluation.
  • Summary of evidence-based treatment options for chronic pain.

    • Main Results:

    • Chronic pain affects numerous patients seen by physiatrists.
    • Understanding pain pathophysiology is crucial for effective management.
    • Comprehensive assessment guides tailored treatment selection.
    • Selected treatments can significantly improve outcomes for chronic pain patients.

    Conclusions:

    • Physiatrists are well-positioned to manage chronic pain.
    • A systematic approach encompassing epidemiology, pathophysiology, assessment, and treatment is recommended.
    • This article serves as a foundational resource for physiatrists managing chronic pain.