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Current Pain and Headache Reports
Published in: Current Pain and Headache Reports 8/2019

01-08-2019 | Back Pain | Other Pain (A Kaye and N Vadivelu, Section Editors)

A Multimodal Approach to Pain Management for Patients with Chronic Back Pain: Outcome Measures at 1 Year

Authors: Jonathan P. Eskander, Burton D. Beakley, Si Zhang, Jacquelyn Paetzold, Bharat Sharma, Alan D. Kaye, Sanjay Sharma

Published in: Current Pain and Headache Reports | Issue 8/2019

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Abstract

Purpose of Review

The purpose of this study is to evaluate the effectiveness of a multimodal approach to treating chronic low back pain.

Recent Findings

Chronic non-cancer-related back pain is often a frustrating and poorly managed problem for patients. It poses a significant public health issue worsened by the widespread use of narcotics. In 2016, the CDC released guidelines with noticeably more strict recommendations on prescription of narcotics for pain.

Summary

Veterans at an interventional pain clinic presenting with chronic back pain refractory to medical and to surgical care were enrolled in an 8-week interdisciplinary pain management program. Pain scores were significantly reduced 1 year after completion of the program. Patients in this study benefitted from lower and sustained pain scores, a reduction in emergency room, and urgent care clinic visits, as well as generally high satisfaction with the interdisciplinary program.
Literature
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• National Research Council (US) and Institute of Medicine (US) Panel on Musculoskeletal Disorders and the Workplace. Musculoskeletal disorders and the workplace: low back and upper extremities. Washington, DC: National Academy Press (US); 2001. ISBN-10: 0-309-07284-0. These references are important to this article because they demonstrate a multimodal approach to pain management as well the template and evidence for the use for the pain outcomes questionnairre (POQ) used in this study.
2.
Martin BI, Deyo RA, Mirza SK, Turner JA, Comstock BA, Hollingworth W, et al. Expenditures and health status among adults with back and neck problems. JAMA. 2008;299:656–64.CrossRef
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• Kames LD, Rapkin AJ, Naliboff BD, Afifi S, Ferrer-Brechner T. Effectiveness of an interdisciplinary pain management program for the treatment of chronic pelvic pain. Pain. 1990;41(1):41–6. These references are important to this article because they demonstrate a multimodal approach to pain management as well the template and evidence for the use for the pain outcomes questionnairre (POQ) used in this study.CrossRef
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•• Sturgeon JA, Dixon EA, Darnall BD, Mackey SC. Contributions of physical function and satisfaction with social roles to emotional distress in chronic pain: a collaborative health outcomes information registry (CHOIR) study. Pain. 2015;156(12):2627–33. These references are important to this article because they demonstrate a multimodal approach to pain management as well the template and evidence for the use for the pain outcomes questionnairre (POQ) used in this study.CrossRef
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•• Clark ME, Gironda RJ, Young RW. Development and validation of the pain outcomes questionnaire-VA. J Rehabil Res Dev. 2003;40(5):381–96. These references are important to this article because they demonstrate a multimodal approach to pain management as well the template and evidence for the use for the pain outcomes questionnairre (POQ) used in this study.CrossRef
Metadata
Title
A Multimodal Approach to Pain Management for Patients with Chronic Back Pain: Outcome Measures at 1 Year
Authors
Jonathan P. Eskander
Burton D. Beakley
Si Zhang
Jacquelyn Paetzold
Bharat Sharma
Alan D. Kaye
Sanjay Sharma
Publication date
01-08-2019
Publisher
Springer US
Published in
Current Pain and Headache Reports / Issue 8/2019
Print ISSN: 1531-3433
Electronic ISSN: 1534-3081
DOI
https://doi.org/10.1007/s11916-019-0790-0

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