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Curr Pain Headache Rep. 2019 Jul 8;23(8):54. doi: 10.1007/s11916-019-0790-0.

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

Author information

1
Department of Anesthesiology, Portsmouth Anesthesia Associates, Portsmouth, VA, USA. jeskande@tulane.edu.
2
Department of Anesthesiology, Ocshner Health System, New Orleans, LA, USA.
3
Department of Anesthesiology, Stamford Health Medical Group, Stamford, CT, USA.
4
Department of Anesthesiology, STAR Anesthesia, P.A., San Antonio, TX, USA.
5
Department of Anesthesiology, Duke University, Durham, NC, USA.
6
Department of Anesthesiology, Louisiana State University Health Sciences Center, New Orleans, LA, USA.
7
Department of Anesthesiology, Southeast Louisiana Veterans Health Care System, New Orleans, LA, USA.

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. 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.

KEYWORDS:

Acupuncture; Cervical; Chronic pain; Cognitive behavioral therapy; Interdisciplinary pain management; Intervention; Interventional; Low back; Multimodal; Nutrition; Pain; Physical therapy; Yoga

PMID:
31286279
DOI:
10.1007/s11916-019-0790-0

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