关键词: Chronic pain treatment Combination therapy Interdisciplinary pain treatment Multidisciplinary chronic pain treatment Multimodal

Mesh : Analgesia / methods Chronic Pain / drug therapy therapy Cognitive Behavioral Therapy / methods Combined Modality Therapy / methods Electric Stimulation Therapy / methods Humans Pain Management / methods Pain Measurement Psychotherapy / methods Quality of Life Transcranial Magnetic Stimulation / methods

来  源:   DOI:10.1016/j.mcna.2015.08.012   PDF(Sci-hub)

Abstract:
Most patients with chronic pain receive multimodal treatment. There is scant literature to guide us, but when approaching combination pharmacotherapy, the practitioner and patient must weigh the benefits with the side effects; many medications have modest effect yet carry significant side effects that can be additive. Chronic pain often leads to depression, anxiety, and deconditioning, which are targets for treatment. Structured interdisciplinary programs are beneficial but costly. Interventions have their place in the treatment of chronic pain and should be a part of a multidisciplinary treatment plan. Further research is needed to validate many common combination treatments.
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