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Updated: May 22, 2026

Dynamic Quantitative Sensory Testing to Characterize Central Pain Processing
Published on: February 16, 2017
Comprehensive chronic pain management: improving physical and psychological function (CME multimedia activity)
Bill H McCarberg1, Steven Stanos, David A Williams
1University of California San Diego, San Diego, Cal, USA. bill.h.mccarberg@kp.org
Chronic pain stems from diverse causes and requires a comprehensive biopsychosocial approach. Effective management integrates medication with physical and psychological therapies for improved function.
Area of Science:
- Pain Medicine
- Multidisciplinary Pain Management
Background:
- Chronic non-cancer pain has varied etiologies, classified as nociceptive, inflammatory, neuropathic, or central.
- Pain perception is influenced by biological, psychological, and sociocultural factors, including mood disorders and social support.
Purpose of the Study:
- To outline the classification and assessment of chronic non-cancer pain.
- To emphasize the importance of a biopsychosocial model in chronic pain management.
Main Methods:
- Review of chronic pain etiologies and classification.
- Application of the biopsychosocial model for assessment and treatment planning.
Main Results:
- Chronic pain can originate from a single or combined mechanisms.
- A patient's pain experience is shaped by biological, psychological, and social determinants.
Conclusions:
- A multidisciplinary approach combining pharmacotherapy and non-pharmacologic interventions is crucial.
- Integrated management strategies improve both physical and psychological function in chronic pain patients.
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