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

  • Other Pain (A Kaye and N Vadivelu, Section Editors)
  • Published:
Current Pain and Headache Reports Aims and scope Submit manuscript

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.

Summary

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.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. • National Research Council (US) and Institute of Medicine (US) Panel on Musculoskeletal Disorders and the Workplace. Musculoskeletal disorders and the workplace: low back and upper extremities. Washington, DC: National Academy Press (US); 2001. ISBN-10: 0-309-07284-0. These references are important to this article because they demonstrate a multimodal approach to pain management as well the template and evidence for the use for the pain outcomes questionnairre (POQ) used in this study.

  2. Martin BI, Deyo RA, Mirza SK, Turner JA, Comstock BA, Hollingworth W, et al. Expenditures and health status among adults with back and neck problems. JAMA. 2008;299:656–64.

    Article  CAS  Google Scholar 

  3. • Kames LD, Rapkin AJ, Naliboff BD, Afifi S, Ferrer-Brechner T. Effectiveness of an interdisciplinary pain management program for the treatment of chronic pelvic pain. Pain. 1990;41(1):41–6. These references are important to this article because they demonstrate a multimodal approach to pain management as well the template and evidence for the use for the pain outcomes questionnairre (POQ) used in this study.

    Article  CAS  Google Scholar 

  4. •• Sturgeon JA, Dixon EA, Darnall BD, Mackey SC. Contributions of physical function and satisfaction with social roles to emotional distress in chronic pain: a collaborative health outcomes information registry (CHOIR) study. Pain. 2015;156(12):2627–33. These references are important to this article because they demonstrate a multimodal approach to pain management as well the template and evidence for the use for the pain outcomes questionnairre (POQ) used in this study.

    Article  Google Scholar 

  5. •• Clark ME, Gironda RJ, Young RW. Development and validation of the pain outcomes questionnaire-VA. J Rehabil Res Dev. 2003;40(5):381–96. These references are important to this article because they demonstrate a multimodal approach to pain management as well the template and evidence for the use for the pain outcomes questionnairre (POQ) used in this study.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Anesthesiology, Portsmouth Anesthesia Associates, Portsmouth, VA, USA

    Jonathan P. Eskander

  2. Department of Anesthesiology, Ocshner Health System, New Orleans, LA, USA

    Burton D. Beakley

  3. Department of Anesthesiology, Stamford Health Medical Group, Stamford, CT, USA

    Si Zhang

  4. Department of Anesthesiology, STAR Anesthesia, P.A., San Antonio, TX, USA

    Jacquelyn Paetzold

  5. Department of Anesthesiology, Duke University, Durham, NC, USA

    Bharat Sharma

  6. Department of Anesthesiology, Louisiana State University Health Sciences Center, New Orleans, LA, USA

    Alan D. Kaye

  7. Department of Anesthesiology, Southeast Louisiana Veterans Health Care System, New Orleans, LA, USA

    Sanjay Sharma

Authors
  1. Jonathan P. Eskander
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  2. Burton D. Beakley
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  3. Si Zhang
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  4. Jacquelyn Paetzold
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  5. Bharat Sharma
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  6. Alan D. Kaye
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  7. Sanjay Sharma
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Corresponding author

Correspondence to Jonathan P. Eskander.

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Conflict of Interest

Jonathan P. Eskander, Burton D. Beakley, Si Zhang, Jacquelyn Paetzold, Bharat Sharma, Alan D. Kaye, and Sanjay Sharma declare no conflict of interest. Dr. Kaye discloses that he is on the Speakers Bureau for Depomed, Inc. and Merck.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Other Pain

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Eskander, J.P., Beakley, B.D., Zhang, S. et al. A Multimodal Approach to Pain Management for Patients with Chronic Back Pain: Outcome Measures at 1 Year. Curr Pain Headache Rep 23, 54 (2019). https://doi.org/10.1007/s11916-019-0790-0

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  • DOI: https://doi.org/10.1007/s11916-019-0790-0

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