PAIN-TREATMENT, COGNITIVE MODALITIES

SUMMARY

1. Same principles as for physical modalities: know what and why you are referring.

2. Know the provider: are they equipped to provide neuropsychological assessment and CBT?

3. Include tools to evaluate and monitor patient's progress:
- Tampa scale: to assess fear of pain
- PSEQ (Pain Self-Efficacy Questionnaire): to assess self-efficacy for pain management
- DASS-21: to assess for depression, anxiety and stress
- ODI (Oswestry Disability Index): to assess for overall disability

4. Re-evaluate progress regularly, define goals and manage expectations.

5. Multi-disciplinary meetings to discuss patients are useful in aligning goals between the various therapists and clinicians.

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.