Chronic pain. A pharmacologic review and behavior modification approach

Management of pain syndromes clearly requires a multidimensional approach and involves social, psychologic, and somatic factors. At the Behavioral Medicine/Pain Therapy Center of Jewish Hospital, St Louis, most patients significantly increase social and physical activity using the combined approach outlined. A majority of patients previously treated with complicated drug regimens do well on little or no medicine. When medications are required for long-term treatment, tricyclic antidepressants have been most successful.