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Evidence-based pain medicine for primary care physicians.

Graves T Owen1, Brian M Bruel2, C M Schade3

  • 1Texas Pain Rehabilitation Institute, PA, Round Rock, Texas.

Proceedings (Baylor University. Medical Center)
|April 25, 2018
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Summary

Primary care physicians can improve chronic pain management by understanding the biopsychosocial model and evidence-based treatments. This guide emphasizes non-opioid alternatives and safe opioid use, reducing risks and improving patient outcomes.

Keywords:
Acute painchronic painopioidspain interventional procedurespain medicinepsychological treatment for painrehabilitation treatment for pain

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Area of Science:

  • Pain Medicine
  • Primary Care

Background:

  • Chronic pain recognition and treatment have increased, yet patient understanding of pain and its management remains suboptimal.
  • Primary care physicians are pivotal in delivering evidence-based chronic pain care due to their high patient volume.
  • A significant knowledge gap exists regarding the biopsychosocial model of pain and best practices for its treatment.

Purpose of the Study:

  • To equip primary care physicians with knowledge on chronic pain evaluation and evidence-based treatment strategies.
  • To provide guidance on integrating physical rehabilitation, pain psychology, pharmacotherapy, and procedural interventions.
  • To emphasize alternatives to opioid therapy and safe opioid utilization in light of the ongoing drug-related death epidemic.

Main Methods:

  • Review of current medical evidence supporting the biopsychosocial model of pain.
  • Discussion of various treatment modalities including physical rehabilitation, pain psychology, pharmacotherapy, and procedural interventions.
  • Emphasis on recent Centers for Disease Control and Prevention guidelines for opioid prescribing, risk stratification, and patient monitoring.

Main Results:

  • The biopsychosocial model offers a comprehensive framework for understanding and treating chronic pain.
  • Non-opioid therapies and interventions are crucial alternatives to manage chronic pain effectively and safely.
  • Opioid therapy carries significant risks and requires careful consideration, risk stratification, and monitoring.

Conclusions:

  • Primary care physicians are essential in guiding patients toward evidence-based chronic pain management.
  • A multidisciplinary approach integrating physical, psychological, and social factors is key to effective pain care.
  • Collaboration with pain medicine specialists can enhance the management of complex chronic pain cases.