The Biopsychosocial Aspects of Chronic Pain Pre and Post Functional Restoration Program within the SAMMC Interdisciplinary Pain Management Clinic
Abstract
Chronic pain often results in reduction of function, disability, and overall reduction in quality of life. Currently, assessment of pain intensity is 1) limited to pain scales which are largely subjective in manner, 2) do not reflect comorbidities associated with chronic pain, and 3) do not take into account the biopsychosocial aspects and complexity of the chronic pain experience; therefore lacking any individualized precision in assessing proper pain management strategies. In addition, opioid therapy continue to be the predominant pharmacologic treatment for most chronic pain diagnoses and are associated with increased risk of adverse clinical outcomes, including opioid-related accidents and overdoes; which are particularly elevated in veterans with PTSD. Fear avoidance behavior, and kinesiophobia are common in chronic pain patients and contribute to physical limitations patients place on themselves. While healthcare providers struggle to identify specific pathophysiological mechanisms responsible for persistent pain, rehabilitation may aid in re-training the mind and body of any functional limits that may not truly exist. An interdisciplinary, holistic approach utilizing the biopsychosocial aspects of chronic pain management seems advantageous, more precise than currently available measurements, and imperative in the understanding and optimization of pain management strategies. Functional Restoration Programs (FRPs) are an intensive interdisciplinary approach involving physical strengthening, psychological conditioning, and education of chronic pain in a group setting. It addresses the biopsychosocial aspects of chronic pain and has potential to minimize narcotic based pain management, decrease disability, and improve overall quality of life. In addition, FRP educates patients on pain while restoring function and offering confidence to self-manage pain in a group setting.
Document Details
- Document Type
- Technical Report
- Publication Date
- Aug 01, 2020
- Accession Number
- AD1108306
Entities
People
- Margaux Salas
- Reginald O'hara