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

Jonathan P. Eskander, Burton D. Beakley, Si Zhang, Jacquelyn Paetzold, Bharat Sharma, Alan D. Kaye, Sanjay Sharma

Research output: Contribution to journalReview article

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.

Original languageEnglish (US)
Article number54
JournalCurrent Pain and Headache Reports
Volume23
Issue number8
DOIs
StatePublished - Aug 1 2019
Externally publishedYes

Keywords

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

ASJC Scopus subject areas

  • Clinical Neurology
  • Anesthesiology and Pain Medicine

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