PA Medical News about chronic pain; guideline

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What's the best approach to managing chronic pain
OBG Management, 09/09/09

Veasey GD et al. – Medications may be part of the treatment plan but should not be the sole focus, according to the guideline. Opioids are an option when other therapies fail. The updated ICSI guideline also addresses the effects of various therapies, the role of psychosocial factors, and the identification of barriers to treatment. The comprehensive guideline, which has 172 references and nine appendices, also features two easy–to–use algorithms. One addresses the assessment of chronic pain and the other deals with chronic pain management. Both algorithms identify Level–I and Level–II strategies that can be readily adapted to primary care practice. They are extremely helpful to physicians who are evaluating and developing a care plan for a patient who has chronic pain.