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Evaluation and Treatment of the Chronic Pain Patient: Practice and Complexity 

Evaluation and Treatment of the Chronic Pain Patient: Practice and Complexity
Chapter:
Evaluation and Treatment of the Chronic Pain Patient: Practice and Complexity
Author(s):

John F. Peppin

, Pravardhan Birthi

, Bill H. McCarberg

, and Yvonne D’Arcy

DOI:
10.1093/med/9780199981830.003.0005
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date: 31 May 2020

This chapter provides an overview of how, in an ideal world, a pain clinician would evaluate and treat a patient with chronic pain. Pain clinicians will adhere to some or perhaps all of these recommendations, but we are not suggesting that nonadherence yields poor medical practice, illegal practice, or a regulatory issue. This chapter discusses issues related to the evaluation of the chronic pain patient who is being considered for or is currently receiving opioids as a treatment modality. No one treatment, whether pharmacologic, physical, psychological, or interventional, is the answer to the treatment of chronic pain. Chronic pain is a very complex syndrome that requires a coordinated biopsychosocial multidisciplinary approach if there is to be any hope of success. One simple approach, such as opioids or injections, will rarely alleviate chronic pain.

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