Abstract
Chronic pain is currently under-diagnosed and under-treated, partly because doctors' training in pain management is often inadequate. This situation looks certain to become worse with the rapidly increasing elderly population unless there is a wider adoption of best pain management practice. This paper reviews current knowledge of the development of chronic pain and the multidisciplinary team approach to pain therapy. The individual topics covered include nociceptive and neuropathic pain, peripheral sensitization, central sensitization, the definition and diagnosis of chronic pain, the biopsychosocial model of pain and the multidisciplinary approach to pain management. This last section includes an example of the implementation of a multidisciplinary approach in Belgium and describes the various benefits it offers; for example, the early multidimensional diagnosis of chronic pain and rapid initiation of evidence-based therapy based on an individual treatment plan. The patient also receives continuity of care, while pain relief is accompanied by improvements in physical functioning, quality of life and emotional stress. Other benefits include decreases in catastrophizing, self-reported patient disability, and depression. Improved training in pain management is clearly needed, starting with the undergraduate medical curriculum, and this review is intended to encourage further study by those who manage patients with chronic pain.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1127-1135 |
| Number of pages | 9 |
| Journal | Current Medical Research and Opinion |
| Volume | 29 |
| Issue number | 9 |
| DOIs | |
| State | Published - Sep 2013 |
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Keywords
- Central sensitization
- Chronic pain
- Evidence-based therapy
- Improved training
- Multidisciplinary team
- Peripheral sensitization
ASJC Scopus subject areas
- Medicine(all)
Cite this
The development of chronic pain : Physiological CHANGE necessitates a multidisciplinary approach to treatment. / Pergolizzi, Joseph; Ahlbeck, Karsten; Aldington, Dominic; Alon, Eli; Coluzzi, Flaminia; Dahan, Albert; Huygen, Frank; Kocot-Keopska, Magdalena; Mangas, Ana Cristina; Mavrocordatos, Philippe; Morlion, Bart; Müller-Schwefe, Gerhard; Nicolaou, Andrew; Pérez Hernández, Concepción; Sichère, Patrick; Schäfer, Michael; Varrassi, Giustino.
In: Current Medical Research and Opinion, Vol. 29, No. 9, 09.2013, p. 1127-1135.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The development of chronic pain
T2 - Physiological CHANGE necessitates a multidisciplinary approach to treatment
AU - Pergolizzi, Joseph
AU - Ahlbeck, Karsten
AU - Aldington, Dominic
AU - Alon, Eli
AU - Coluzzi, Flaminia
AU - Dahan, Albert
AU - Huygen, Frank
AU - Kocot-Keopska, Magdalena
AU - Mangas, Ana Cristina
AU - Mavrocordatos, Philippe
AU - Morlion, Bart
AU - Müller-Schwefe, Gerhard
AU - Nicolaou, Andrew
AU - Pérez Hernández, Concepción
AU - Sichère, Patrick
AU - Schäfer, Michael
AU - Varrassi, Giustino
PY - 2013/9
Y1 - 2013/9
N2 - Chronic pain is currently under-diagnosed and under-treated, partly because doctors' training in pain management is often inadequate. This situation looks certain to become worse with the rapidly increasing elderly population unless there is a wider adoption of best pain management practice. This paper reviews current knowledge of the development of chronic pain and the multidisciplinary team approach to pain therapy. The individual topics covered include nociceptive and neuropathic pain, peripheral sensitization, central sensitization, the definition and diagnosis of chronic pain, the biopsychosocial model of pain and the multidisciplinary approach to pain management. This last section includes an example of the implementation of a multidisciplinary approach in Belgium and describes the various benefits it offers; for example, the early multidimensional diagnosis of chronic pain and rapid initiation of evidence-based therapy based on an individual treatment plan. The patient also receives continuity of care, while pain relief is accompanied by improvements in physical functioning, quality of life and emotional stress. Other benefits include decreases in catastrophizing, self-reported patient disability, and depression. Improved training in pain management is clearly needed, starting with the undergraduate medical curriculum, and this review is intended to encourage further study by those who manage patients with chronic pain.
AB - Chronic pain is currently under-diagnosed and under-treated, partly because doctors' training in pain management is often inadequate. This situation looks certain to become worse with the rapidly increasing elderly population unless there is a wider adoption of best pain management practice. This paper reviews current knowledge of the development of chronic pain and the multidisciplinary team approach to pain therapy. The individual topics covered include nociceptive and neuropathic pain, peripheral sensitization, central sensitization, the definition and diagnosis of chronic pain, the biopsychosocial model of pain and the multidisciplinary approach to pain management. This last section includes an example of the implementation of a multidisciplinary approach in Belgium and describes the various benefits it offers; for example, the early multidimensional diagnosis of chronic pain and rapid initiation of evidence-based therapy based on an individual treatment plan. The patient also receives continuity of care, while pain relief is accompanied by improvements in physical functioning, quality of life and emotional stress. Other benefits include decreases in catastrophizing, self-reported patient disability, and depression. Improved training in pain management is clearly needed, starting with the undergraduate medical curriculum, and this review is intended to encourage further study by those who manage patients with chronic pain.
KW - Central sensitization
KW - Chronic pain
KW - Evidence-based therapy
KW - Improved training
KW - Multidisciplinary team
KW - Peripheral sensitization
UR - http://www.scopus.com/inward/record.url?scp=84882775674&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84882775674&partnerID=8YFLogxK
U2 - 10.1185/03007995.2013.810615
DO - 10.1185/03007995.2013.810615
M3 - Article
C2 - 23786498
AN - SCOPUS:84882775674
VL - 29
SP - 1127
EP - 1135
JO - Current Medical Research and Opinion
JF - Current Medical Research and Opinion
SN - 0300-7995
IS - 9
ER -