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

doi:10.1007/s11916-019-0790-0

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 journal › Review 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 language	English (US)
Article number	54
Journal	Current Pain and Headache Reports
Volume	23
Issue number	8
DOIs	https://doi.org/10.1007/s11916-019-0790-0
State	Published - Aug 1 2019
Externally published	Yes

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

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

author = "Eskander, {Jonathan P.} and Beakley, {Burton D.} and Si Zhang and Jacquelyn Paetzold and Bharat Sharma and Kaye, {Alan D.} and Sanjay Sharma",

year = "2019",

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doi = "10.1007/s11916-019-0790-0",

language = "English (US)",

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journal = "Current Pain and Headache Reports",

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T2 - Outcome Measures at 1 Year

AU - Eskander, Jonathan P.

AU - Beakley, Burton D.

AU - Zhang, Si

AU - Paetzold, Jacquelyn

AU - Sharma, Bharat

AU - Kaye, Alan D.

AU - Sharma, Sanjay

PY - 2019/8/1

Y1 - 2019/8/1

N2 - 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.

AB - 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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KW - Interdisciplinary pain management

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KW - Low back

KW - Multimodal

KW - Nutrition

KW - Pain

KW - Physical therapy

KW - Yoga

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