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Outcomes of a Comprehensive Pain Rehabilitation Program for Patients With Fibromyalgia
Erica Engelberg-Cook1, Danqing Hu2, Svetlana Kurklinsky3
1Department of Pain Medicine, Mayo Clinic, Jacksonville, FL.
Mayo Clinic Proceedings. Innovations, Quality & Outcomes
|November 25, 2021
Summary
This study found that fibromyalgia patients in a pain rehabilitation program showed improved well-being and function. Opioid use at admission did not hinder medication tapering and may influence outcomes.
Area of Science:
- Pain Management
- Rehabilitation Medicine
- Fibromyalgia Research
Background:
- Fibromyalgia significantly impacts psychological well-being and functional capacity.
- Opioid use is common in fibromyalgia management but may complicate treatment.
- Pain rehabilitation programs aim to improve outcomes for chronic pain conditions.
Purpose of the Study:
- To investigate the effect of opioid intake on outcomes in fibromyalgia patients undergoing a pain rehabilitation program.
- To analyze the impact of opioid use on psychological, well-being, and functional improvements.
- To assess medication tapering success in fibromyalgia patients with and without opioid use.
Main Methods:
- Retrospective study of 150 fibromyalgia patients at the Mayo Clinic Pain Rehabilitation Program.
- Data collected via surveys (pain scores, psychological scales, health status) and medical record review.
- Patients categorized into 'no opioids' and 'opioids' groups based on admission medication.
Main Results:
- Patients in both groups showed significant improvements in self-reported scores post-program.
- Fibromyalgia patients on opioids at admission had a higher percentage of successful medication tapering.
- Opioid intake may influence the extent of overall program benefits.
Conclusions:
- Comprehensive pain rehabilitation programs benefit fibromyalgia patients, improving pain, health, and function.
- Successful medication tapering, including opioids, is achievable within these programs.
- Opioid use at program entry can modify patient outcomes, warranting further investigation.
Keywords:
CESD, Center for Epidemiological Studies–Depression ScaleCSS, central sensitization syndromeFM, fibromyalgiaMCPRP, Mayo Clinic Comprehensive Pain Rehabilitation ProgramMPI, Multidimensional Pain InventoryNO, no opioids on admissionNSAID, nonsteroidal anti-inflammatory drugOME, oral morphine equivalentOP, opioids on admissionPCS, Pain Catastrophizing ScalePSEQ, Pain Self-Efficacy QuestionnaireSF-36, 36-Item Short-Form Health Status SurveySS, Symptom Severity ScaleWPI, Widespread Pain IndexMore Related Videos
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