Comprehensive pain management as a frontline treatment to address the opioid crisis

Abstract Background: The opioid crisis continues to devastate individuals and communities in the United States and abroad. While there have been several measures to address the over‐prescription of opioid analgesics, the number of overdose deaths related to prescription opioids has not changed appre...

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Autores principales:	Joseph Gregory Hobelmann, Andrew S. Huhn
Formato:	article
Lenguaje:	EN
Publicado:	Wiley 2021
Materias:	addiction pain psychiatry psychology Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
Acceso en línea:	https://doaj.org/article/6b33116a4b154efe957ce2e646f46378
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spelling	oai:doaj.org-article:6b33116a4b154efe957ce2e646f463782021-11-25T06:06:36ZComprehensive pain management as a frontline treatment to address the opioid crisis2162-327910.1002/brb3.2369https://doaj.org/article/6b33116a4b154efe957ce2e646f463782021-11-01T00:00:00Zhttps://doi.org/10.1002/brb3.2369https://doaj.org/toc/2162-3279Abstract Background: The opioid crisis continues to devastate individuals and communities in the United States and abroad. While there have been several measures to address the over‐prescription of opioid analgesics, the number of overdose deaths related to prescription opioids has not changed appreciably in the last 10 years. Comprehensive (or multidisciplinary) pain recovery programs consist of providers from multiple backgrounds that treat pain on an individual level through a combination of approaches including physical therapy, emotional and spiritual support, cognitive behavioral therapy, and non‐opioid pharmacotherapies. Because there is a dynamic interplay between a given chronic pain patient and multiple providers, comprehensive pain programs are not as “standardized” as other medical treatments because they are meant to meet the individual needs of each patient and their specific pain diagnoses Methods: Review of the literature. Results: There is evidence that comprehensive pain treatment can reduce pain severity and improve functioning; comprehensive pain treatment can be used to treat those with post‐surgical pain, thus preventing the onset of non‐medical opioid use and opioid use disorder, and in persons with chronic pain who are on long‐term opioid therapy, as a method to reduce or eliminate opioid medication use. Comprehensive pain recovery programs were abundant for a period from the 1960s through the 1980s, but for a variety of reasons, they became financially unsustainable as the national reimbursement environment evolved. Conclusions: In the context of the protracted and deadly opioid crisis, revitalizing and expanding comprehensive pain treatment should be considered as a frontline approach to treat chronic pain.Joseph Gregory HobelmannAndrew S. HuhnWileyarticleaddictionpainpsychiatrypsychologyNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571ENBrain and Behavior, Vol 11, Iss 11, Pp n/a-n/a (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	addiction pain psychiatry psychology Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
spellingShingle	addiction pain psychiatry psychology Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Joseph Gregory Hobelmann Andrew S. Huhn Comprehensive pain management as a frontline treatment to address the opioid crisis
description	Abstract Background: The opioid crisis continues to devastate individuals and communities in the United States and abroad. While there have been several measures to address the over‐prescription of opioid analgesics, the number of overdose deaths related to prescription opioids has not changed appreciably in the last 10 years. Comprehensive (or multidisciplinary) pain recovery programs consist of providers from multiple backgrounds that treat pain on an individual level through a combination of approaches including physical therapy, emotional and spiritual support, cognitive behavioral therapy, and non‐opioid pharmacotherapies. Because there is a dynamic interplay between a given chronic pain patient and multiple providers, comprehensive pain programs are not as “standardized” as other medical treatments because they are meant to meet the individual needs of each patient and their specific pain diagnoses Methods: Review of the literature. Results: There is evidence that comprehensive pain treatment can reduce pain severity and improve functioning; comprehensive pain treatment can be used to treat those with post‐surgical pain, thus preventing the onset of non‐medical opioid use and opioid use disorder, and in persons with chronic pain who are on long‐term opioid therapy, as a method to reduce or eliminate opioid medication use. Comprehensive pain recovery programs were abundant for a period from the 1960s through the 1980s, but for a variety of reasons, they became financially unsustainable as the national reimbursement environment evolved. Conclusions: In the context of the protracted and deadly opioid crisis, revitalizing and expanding comprehensive pain treatment should be considered as a frontline approach to treat chronic pain.
format	article
author	Joseph Gregory Hobelmann Andrew S. Huhn
author_facet	Joseph Gregory Hobelmann Andrew S. Huhn
author_sort	Joseph Gregory Hobelmann
title	Comprehensive pain management as a frontline treatment to address the opioid crisis
title_short	Comprehensive pain management as a frontline treatment to address the opioid crisis
title_full	Comprehensive pain management as a frontline treatment to address the opioid crisis
title_fullStr	Comprehensive pain management as a frontline treatment to address the opioid crisis
title_full_unstemmed	Comprehensive pain management as a frontline treatment to address the opioid crisis
title_sort	comprehensive pain management as a frontline treatment to address the opioid crisis
publisher	Wiley
publishDate	2021
url	https://doaj.org/article/6b33116a4b154efe957ce2e646f46378
work_keys_str_mv	AT josephgregoryhobelmann comprehensivepainmanagementasafrontlinetreatmenttoaddresstheopioidcrisis AT andrewshuhn comprehensivepainmanagementasafrontlinetreatmenttoaddresstheopioidcrisis
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Comprehensive pain management as a frontline treatment to address the opioid crisis

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