Clinical perspective, Complex pain

Evidence-Based Pain Medicine for Primary Care Physicians

Paradigm Medical Director Graves T. Owen, MD, is lead author of “Evidence-based pain medicine for primary care physicians,” in the peer-reviewed journal, Baylor University Medical Center Proceedings.

The article highlights the critical role that a pain medicine specialist can play in the management of patients with chronic pain. Learn more from the abstract:

The last several decades have seen a marked increase in both the recognition and treatment of chronic pain. Unfortunately, patients frequently misunderstand both the nature of pain and the best practices for its treatment.

Because primary care physicians treat the majority of chronic pain, they are ideally situated to provide evidence-based pain care. The majority of the medical evidence supports a biopsychosocial model of pain that integrates physical, emotional, social, and cultural variables.

The goal of this primer is to assist primary care physicians in their understanding of pain, evaluation of the chronic pain patient, and ability to direct evidence-based care.

The article discusses the role of physical rehabilitation, pain psychology, pharmacotherapy, and procedural interventions in the treatment of chronic pain.

Given the current epidemic of drug-related deaths, particular emphasis is placed on the alternatives to opioid therapy. Unfortunately, death is not the only significant complication from opioid therapy, and this article discusses many of the most common side effects.

The article provides general guidelines on the most appropriate utilization of opioids with emphasis on the recent Centers for Disease Control and Prevention guidelines, risk stratification, and patient monitoring.

Finally, the article concludes with the critical role that a pain medicine specialist can play in the management of patients with chronic pain.

Read the full article here: Evidence-Based Pain Medicine for Primary Care Physicians

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