Chronic pain medical therapy
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Cognitive Behavioral Therapy
A randomized controlled trial found a reduction in pain and disability although no reduction in opioid use[1]. The intervention includes 12 modules of learning coping skills. The modules include:
- Understanding pain/pain education and role of pain coping skills
- Applying progressive muscle relaxation (PMR) and adaptation model.
- Activity-rest cycle
- Pleasant activity scheduling
- Relaxation mini-practices
- Pleasant imagery
- Emotional regulation: leaning in
- Emotional regulation: leaning out
- Cognitive restructuring
- Use of calming self-statements
- Problem-solving/reinforcing the application of learned skills
- Relapse prevention and maintenance enhancement training
Rehabilitation
As alluded to earlier there are other modalities used in the treatment of chronic pain. These include: physical modalities such as thermal agents and electrotherapy. Complementary and alternative medicine, therapeutic exercise and behavioral therapy are also utilized autonomously or in tandem with interventional techniques and conventional pharmacotherapy. This is most often structured in a multidisciplinary or interdisciplinary program.[2]
References
- ↑ DeBar L, Mayhew M, Benes L, Bonifay A, Deyo RA, Elder CR; et al. (2021). "A Primary Care-Based Cognitive Behavioral Therapy Intervention for Long-Term Opioid Users With Chronic Pain : A Randomized Pragmatic Trial". Ann Intern Med. doi:10.7326/M21-1436. PMID 34724405 Check
|pmid=value (help). - ↑ Geertzen JH, Van Wilgen CP, Schrier E, Dijkstra PU (2006). "Chronic pain in rehabilitation medicine". Disability and rehabilitation. 28 (6): 363–7. PMID 16492632.