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What to do when pain and addiction coexist.

Seddon R Savage¹

¹Dartmouth Medical School, Hanover, NH, USA.

The Journal of Family Practice

|July 6, 2013

Summary

A multidimensional pain treatment approach benefits all chronic pain patients. This comprehensive strategy is crucial for individuals misusing alcohol, street drugs, or prescription medications.

Area of Science:

Pain Management
Addiction Medicine
Public Health

Background:

Chronic pain affects millions globally, often necessitating long-term treatment strategies.
Substance misuse, including alcohol, illicit drugs, and prescription medications, complicates pain management and patient outcomes.
A holistic approach is increasingly recognized as vital for effective chronic pain care.

Purpose of the Study:

To emphasize the importance of a multidimensional pain treatment strategy.
To highlight the specific benefits of this approach for patients with substance use disorders.
To advocate for integrated care models in chronic pain management.

Main Methods:

Review of current literature on chronic pain treatment modalities.
Analysis of patient populations with co-occurring chronic pain and substance misuse.

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Synthesis of evidence supporting comprehensive, multidisciplinary pain care.

Main Results:

Multidimensional pain treatment demonstrates superior efficacy across diverse chronic pain populations.
Integrated care models significantly improve outcomes for patients misusing substances.
Addressing psychosocial factors alongside physical pain is key to successful management.

Conclusions:

A multidimensional pain treatment approach is the standard of care for all chronic pain patients.
This comprehensive strategy is particularly critical for individuals with comorbid substance use disorders.
Future research should focus on optimizing integrated pain and addiction treatment services.