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Related Concept Videos

Analgesia and Pain Management01:25

Analgesia and Pain Management

Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
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Related Experiment Video

Updated: May 20, 2026

Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery
09:38

Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery

Published on: April 14, 2016

Pain management - the challenge.

Mack A Thomas1

  • 1Director of Perioperative Medicine, Department of Anesthesiology, Ochsner Clinic Foundation; Clinical Professor of Anesthesiology and Surgery, LSU Health Sciences Center, New Orleans, LA.

Ochsner Journal
|July 25, 2012
PubMed
Summary
This summary is machine-generated.

Chronic pain management is complex, as pain measurement lacks objectivity. A multimodal, patient-centered approach is key to effectively treating chronic pain, including appropriate opioid therapy when indicated.

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Area of Science:

  • Pain Medicine
  • Public Health

Background:

  • Chronic pain is a major public health issue in the U.S.
  • Pain is recognized as the fifth vital sign, increasing scrutiny on its management.
  • Objective pain measurement remains a challenge, complicating treatment strategies.

Purpose of the Study:

  • To discuss the complexities of chronic pain management.
  • To highlight the importance of a multimodal therapeutic approach.
  • To address the role of opioids in treating chronic nonmalignant pain.

Main Methods:

  • Review of existing literature and clinical practices in pain management.
  • Discussion of various treatment modalities, including interventional and noninvasive techniques.
  • Emphasis on patient participation in a multimodal therapeutic program.

Main Results:

  • Chronic pain leads to significant psychological and social problems for patients and physicians.
  • Multimodal therapeutic programs involving active patient participation can effectively manage most pain.
  • Opioid therapy is a legitimate option for chronic nonmalignant pain when guidelines are followed.

Conclusions:

  • Effective chronic pain management requires a comprehensive, patient-centered strategy.
  • Adherence to established guidelines is crucial when considering opioid therapy.
  • Successful pain management is a rewarding outcome for healthcare providers and patients.