management is an essential part of treatment for patients with chronic pain.
Most of this treatment can be accomplished in an outpatient basis with individual
practitioners, but some cases may require specialized treatment in more intensive,
multidisciplinary settings. These programs may be inpatient, outpatient or
a hybrid of the two.
patients with chronic intractable pain, treatment can be successfully accomplished
by their individual practitioners. These practitioners must take into account
other modalities of pain treatment, especially psychosocial issues. If they
need help they may call in other specialists, such as anesthesiologists for
blocks, psychiatrists or psychologists for psychotherapy, independent nurse
case managers for interface with the insurance carrier, etc. If the individual
practitioner cannot manage the patient's pain on his or her own, then they
may need to request the help of a functional restoration program. The goal
of this type of program is to use an intensive multidisciplinary approach
to help patients gain the highest function with the least amount of ongoing
of methods used, the treatment of pain management addresses issues such as
functional capacity, vocational retraining, exercise tolerance, medication
usage, medical legal issues, and psychosocial equilibrium. Treatment planning
should be tailored to the needs of individual patients and outcomes are based
upon those patient's underlying disabilities, physiologic pain and psychosocial
capacities. Successful treatment outcomes will vary according to these parameters
and not an arbitrary standard set for all patients.