Recognizing patterns in chronic pain patients - a clinical model
- RRS Education
Personalized pain management is an emerging movement in clinical practice due to the inherently personal nature of the pain experience. Arguably, the most logical approach to pain management should be to:
1) implement a clinically rigorous and personalized multidimensional assessment;
2) identify the individual biopsychosocial sequelae that may drive the pain experience; and
3) structure a treatment program based on the results of the assessment.
At the centre of this approach are the proverbial 3-pillars of evidence-informed practice, which are (of course!): sound empirical evidence, clinician expertise and patient values. Pain management research is beginning to focus on identifying subgroups of pain patients, with the intention of providing more sound and comprehensive guidelines for clinical decision making. The authors of this paper (published in Musculoskeletal Science and Practice 2018) proposed a framework to sub-categorize pain patients based on dominant pain etiology, based on their combined 30-years of experience in clinical practice, teaching, mentorship, and MSK research...LOG IN OR SUBSCRIBE TO ACCESS THE FULL REVIEW!