PAIN-CHRONIC PAIN MGM GOALS

SUMMARY

1. Use a multimodal approach, combining non-pharmacological with pharmacological therapies.

2. Patient education. Negotiated goals.

3. Aim to get pain to a tolerable level to optimise function and emotion, not to totally eradicate pain.

4. Pharmacotherapy for chronic pain has at best moderate efficacy, but often a high placebo response.

5. Reassess response to treatment. Consider a trial off a medication. It can be recommended if pain exacerbates.

6. Opioid therapy: Time limit for acute pain. Dose limit for chronic pain.

Reference(s)

Cifu, D.X. (2020). Braddom’s physical medicine and rehabilitation. Elsevier. Get it on Amazon.
Cuccurullo, S. (2019). Physical medicine and rehabilitation board review. New York: Demosmedical. Get it on Amazon.
O’Young, B., Young, M.A. and Stiens, S.A. (2008). Physical Medicine and Rehabilitation Secrets. Mosby. Get it on Amazon.