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

  • Jonathan P. EskanderEmail author
  • Burton D. Beakley
  • Si Zhang
  • Jacquelyn Paetzold
  • Bharat Sharma
  • Alan D. Kaye
  • Sanjay Sharma
Other Pain (A Kaye and N Vadivelu, Section Editors)
  • 69 Downloads
Part of the following topical collections:
  1. Topical Collection on Other Pain

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.

Keywords

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

Notes

Compliance with Ethical Standards

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.

References

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

  1. 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.Google Scholar
  2. 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.CrossRefGoogle Scholar
  3. 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.CrossRefGoogle Scholar
  4. 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.CrossRefGoogle Scholar
  5. 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.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Jonathan P. Eskander
    • 1
    Email author
  • Burton D. Beakley
    • 2
  • Si Zhang
    • 3
  • Jacquelyn Paetzold
    • 4
  • Bharat Sharma
    • 5
  • Alan D. Kaye
    • 6
  • Sanjay Sharma
    • 7
  1. 1.Department of AnesthesiologyPortsmouth Anesthesia AssociatesPortsmouthUSA
  2. 2.Department of AnesthesiologyOcshner Health SystemNew OrleansUSA
  3. 3.Department of AnesthesiologyStamford Health Medical GroupStamfordUSA
  4. 4.Department of AnesthesiologySTAR Anesthesia, P.A.San AntonioUSA
  5. 5.Department of AnesthesiologyDuke UniversityDurhamUSA
  6. 6.Department of AnesthesiologyLouisiana State University Health Sciences CenterNew OrleansUSA
  7. 7.Department of AnesthesiologySoutheast Louisiana Veterans Health Care SystemNew OrleansUSA

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