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Multidisciplinary Approach

Decent Essays

There are a variety of pharmacological and non-pharmacological approaches in managing chronic pain. These are broken down to six major categories; they are pharmacological, interventional, neuromodulation, physical medicine, behavioral medicine and surgical approaches (1). A coordinated multidisciplinary team approach and detailed patient's history is essential in tailoring a patient-specific treatment plan that will meet treatment goals. A number of randomized systematic reviews found strong evidence that multidisciplinary approach including bio-psychosocial rehabilitation improves functional status when compared with non-multidisciplinary care (2,3). Here, we will focus our discussion on some of the advantages and disadvantages of medical management versus interventional management of chronic pain.

Pharmacological approach represents the most commonly used therapeutic option in the management of chronic pain. These include …show more content…

It can be administered alone or part of a multi-disciplinary approach in relieving symptoms. It delivers pain-relieving medication directly to the source of pain in musculoskeletal pain conditions and their effects are often immediate and long lasting. They are often used to reduce opioid side effects or gain better analgesic efficacy. However, serious complications have been reported in the literature. The Closed Claims Project Database has reported 284 chronic pain management claims were reported between 1970 and 2000; 96% of the claims were related to interventional pain management techniques (10). Seventy-eight percent of these were related to nerve blocks and injections. Paraplegia or quadriplegia, epidural abscess, chemical injury from spinal cord injections, epidural hematoma, even more alarming death and brain damage were some of the reported complications; most commonly reported was pneumothorax and spinal cord nerve injury

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