Advertisement

Multidisciplinary Approach to Pain Management

  • Debebe Fikremariam
  • Mario Serafini
Chapter

Abstract

In 1996 the International Association for the Study of Pain defined pain as “an unpleasant sensory and emotional experience associated with actual and potential tissue damage or described in terms of such damage.” An estimated 50 million Americans live with chronic pain caused by disease, disorder, or accident. An additional 25 million are treated for acute pain related to surgery or accidental injury (National Pain Survey 1999). Approximately two-thirds of these patients have been living with pain in excess of 5 years. The loss of productivity and the quality of life due to pain is substantial (Chronic Pain America 1999). Million and even billions of dollars are lost from habitual health care utilization and disability compensation. In a study done in 2000 (Merck 2000), it was reported that 36 million Americans missed work in the previous year due to pain and 83 million indicated that the pain affected their participation in various activities.

Keywords

Chronic Pain Complex Regional Pain Syndrome Pain Behavior Chronic Pain Patient Opioid Medication 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Chronic Pain America; road blocks to relief, survey conducted for the American Pain Society, the American Academy of Pain Medicine and Jansen Pharmaceutical, 1999.Google Scholar
  2. Crook J, Tunks E, Rideout E, et al. Epidemiologic comparison of pain sufferers in a specialty pain clinic and in the community. Arch Phys Med Rehab. 1986;67:451–5.Google Scholar
  3. Crook J, Weir R, Tunks E. An epidemiologic follow-up survey of persistent pain sufferers in a group family practice and specialty pain clinic. Pain 1989;36:49–61.PubMedCrossRefGoogle Scholar
  4. Dvorak J, Gauchat M, Valach L. The outcome of surgery for lumbar disk herniation. A 4–17 yrs follow-up with emphasis on somatic aspects. Spine 1988;13:1418–22.PubMedCrossRefGoogle Scholar
  5. Flor H, Fydrich T, Turk DC. Efficacy of multidisciplinary pain treatment centers; a metaanalytic review. Pain 1992;49:221–230.PubMedCrossRefGoogle Scholar
  6. Loeser JD, Turk DC. Bonica’s management of pain. 3rd ed. 2001. pp. 2067–79.Google Scholar
  7. National Pain Survey, conducted for Ortho-McNeill Pharmaceutical, 1999.Google Scholar
  8. Pain in America: a research report, survey conducted for Merck by the Gall up Organization, 2000.Google Scholar
  9. Pain management programs: a market analysis. Tampa, FL: Market Data Enterprise; 1999.Google Scholar
  10. Koch, HJ. The management of chronic pain in office-based ambulatory medical care survey. Advance data from vital and statistics no. 123, No PHS 86-1250, Hyattsville, MD; 1986.Google Scholar
  11. Joranson D, Lietman R. The McNeill national pain study. New York, NY: Louis Harris Associates; 1994.Google Scholar
  12. Turk DC, Okifuji A, Sherman J. Behavioral aspects of low back pain. In: Taylor J, Twomey L, editors. Physical therapy of the low back. 3rd ed. New York, NY: Churchill Livingstone; 2000. pp. 351–83.Google Scholar
  13. Turk DC, Okifuji A. Treatment of chronic pain patients: clinical outcomes, cost-effectiveness and cost-benefits of multidisciplinary pain centers. Crit Rev Phys Made Rehab. 1998;10: 181–208.Google Scholar
  14. Turk DC, Rudy T, Sorkin B. Neglected topics in chronic pain treatment outcome studies; determination of success. Pain 1993;53:3–16.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Debebe Fikremariam
    • 1
  • Mario Serafini
    • 2
  1. 1.Department of AnesthesiologyWest Virginia University School of MedicineMorgantownUSA
  2. 2.Department of AnesthesiologyUniversity of VermontBurlingtonUSA

Personalised recommendations