Why can multimodal, multidisciplinary pain clinics not help all chronic pain patients?

Why can multimodal, multidisciplinary pain clinics not help all chronic pain patients? In this issue of the Scandinavian Journal of Pain Eva-Britt Hysing and her co-workers at the specialised in-hospital clinic of the Pain Center of Uppsala University Hospital describe the severely disabled chronic pain patients admitted [1]. The primary aim of their ongoing prospective study is to identify deeper characteristics of an almost intractable subgroup of patients with chronic pain. Their future goal is to use this information to assess and improve interventions tailored to special needs of this group of patients with complex multiple co-morbidities with pain as the most pronounced of many symptoms [1].Multimodal pain rehabilitation programs (MMRP) are well established in Scandinavia, many at departments of physical medicine and rehabilitation [2]. The cornerstones of multimodal pain rehabilitation consist of physical fitness training, cognitive behavioural therapy including acceptance commitment therapy, pain education, and early actions aimed for return to work [2,3]. Patients are admitted to MMRP only if they show some degree of acceptance and willingness to actively engage in and work with all aspects of behaviour change and thoughts [2]. Most such pain rehabilitation programs in Sweden collaborate in the central Swedish Quality Registry for Pain Rehabilitation (SWEPAIN) [3]. Results from these programs are reasonably positive [2,4], http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Scandinavian Journal of Pain de Gruyter

Why can multimodal, multidisciplinary pain clinics not help all chronic pain patients?

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Publisher
De Gruyter
Copyright
© 2017 Scandinavian Association for the Study of Pain
ISSN
1877-8860
eISSN
1877-8879
D.O.I.
10.1016/j.sjpain.2017.10.001
Publisher site
See Article on Publisher Site

Abstract

In this issue of the Scandinavian Journal of Pain Eva-Britt Hysing and her co-workers at the specialised in-hospital clinic of the Pain Center of Uppsala University Hospital describe the severely disabled chronic pain patients admitted [1]. The primary aim of their ongoing prospective study is to identify deeper characteristics of an almost intractable subgroup of patients with chronic pain. Their future goal is to use this information to assess and improve interventions tailored to special needs of this group of patients with complex multiple co-morbidities with pain as the most pronounced of many symptoms [1].Multimodal pain rehabilitation programs (MMRP) are well established in Scandinavia, many at departments of physical medicine and rehabilitation [2]. The cornerstones of multimodal pain rehabilitation consist of physical fitness training, cognitive behavioural therapy including acceptance commitment therapy, pain education, and early actions aimed for return to work [2,3]. Patients are admitted to MMRP only if they show some degree of acceptance and willingness to actively engage in and work with all aspects of behaviour change and thoughts [2]. Most such pain rehabilitation programs in Sweden collaborate in the central Swedish Quality Registry for Pain Rehabilitation (SWEPAIN) [3]. Results from these programs are reasonably positive [2,4],

Journal

Scandinavian Journal of Painde Gruyter

Published: Dec 29, 2017

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