[Pain management in the rehabilitative setting]

Area of Science:

• Rehabilitation Medicine
• Orthopedic Pain Management

Background:

• Differentiated concepts of interdisciplinary multimodal pain management have long been established in rehabilitation medicine.
• Existing models provide a foundation for current orthopedic pain management strategies.

Purpose of the Study:

• To define the scope of orthopedic pain management within rehabilitation.
• To differentiate rehabilitative pain management from curative and topical medicine approaches.

Main Methods:

• Discussion of established models like interdisciplinary multimodal pain therapy (IMST).
• Analysis of the specific content and structure of rehabilitative pain management.

Main Results:

• Rehabilitative pain management features distinct duration, intensity, and goals compared to curative settings.
• Key aspects include complaint validation and socio-medical assessment, unique to rehabilitation.
• Treatment is tailored to specific patient needs and recovery objectives.

Conclusions:

• Orthopedic rehabilitation pain management is integrated into a tiered, diverse treatment system.
• The introduction of behavioral medicine-oriented rehabilitation (VMO) marks a significant quality improvement.