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Continuing the care of musculoskeletal pain
1Kaiser Permanente, Escondido, California 92025, USA.
Abstract:
Providing continuing care for patients with chronic musculoskeletal pain who do not improve poses a substantial challenge. Patients referred to a pain specialist often have had all appropriate treatment, yet still have pain and seek help. What can be done for these patients? Rehabilitation becomes the new treatment goal. Medication is used to facilitate rehabilitation, and patients are encouraged to play an active role. Modalities employing the cognitive-behavioral approach can be effective in reducing pain and improving function in such patients.
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