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Related Experiment Videos

Chronic pain: from theory to practical management

M C Rowbotham1

  • 1Department of Neurology, University of California, San Francisco, USA.

Neurology
|December 1, 1995
PubMed
Summary

Neurologists play a key role in pain management teams. A multidisciplinary approach, including psychological evaluations and tailored interventions, improves patient function and self-reliance in pain control.

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Area of Science:

  • Neurology
  • Pain Management
  • Psychology

Background:

  • Neurologists are integral to multidisciplinary pain management teams.
  • Complex presentations and diagnostic challenges in pain management are common.
  • The need for comprehensive evaluation is highlighted.

Purpose of the Study:

  • To review factors influencing pain presentation and diagnosis.
  • To advocate for a multidisciplinary approach in pain management.
  • To outline a framework for effective pain treatment planning.

Main Methods:

  • Review of factors altering pain presentation and diagnosis.
  • Emphasis on multidisciplinary evaluation, including psychiatric/psychological assessment.
  • Diagnostic assessment to guide pharmacologic and nonpharmacologic interventions.

Main Results:

  • A structured approach to pain management is proposed.
  • Addressing potential treatment failures is crucial.
  • Integrating behavioral programs with physical therapy enhances function.

Conclusions:

  • Multidisciplinary evaluation, including psychological input, is vital for accurate diagnosis.
  • Treatment planning should be individualized based on pain mechanisms.
  • Behavioral pain programs can improve function and self-efficacy, even when pharmacologic options are limited.

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