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Updated: Aug 27, 2025

Author Spotlight: Methodologies and Advancements of Chronic Pain Management Research
Published on: January 5, 2024
Management of Chronic Pain in Patients with Substance Use Disorders
Kellene Eagen1, Laurel Rabson2, Rebecca Kellum3
1Department of Family Medicine and Community Health, University of Wisconsin Madison, 1100 Delaplaine Court, Madison, WI 53715, USA.
Treating chronic noncancer pain (CNCP) requires understanding substance use disorder (SUD) risks. Concurrent treatment of CNCP and SUD is essential due to shared pathways and comorbidities.
Area of Science:
- Pain Management
- Addiction Medicine
- Primary Care
Background:
- Chronic noncancer pain (CNCP) and substance use disorders (SUDs) frequently coexist.
- Shared neurological pathways and comorbid mental health issues necessitate integrated care approaches.
Purpose of the Study:
- To highlight the importance of understanding SUD risks in CNCP patient management.
- To emphasize concurrent diagnosis and treatment strategies for co-occurring CNCP and SUD.
- To guide primary care clinicians in managing these complex patient populations.
Main Methods:
- Review of existing literature on the intersection of CNCP and SUD.
- Discussion of diagnostic considerations and treatment modalities.
- Exploration of the role of primary care in managing patients with both conditions.
Main Results:
- Effective management of CNCP requires addressing potential SUD risks.
- Concurrent treatment of CNCP and SUD is clinically indicated.
- Primary care providers can offer office-based treatment or refer to specialists.
Conclusions:
- Integrated care models are crucial for patients with both CNCP and SUD.
- Awareness of patient stigma is vital for compassionate, patient-centered care.
- Further research and clinical guidelines are needed to optimize concurrent treatment.
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