title: Update in pain medicine for primary care providers: a narrative review, 2010-2012.
abstract: OBJECTIVE
  This manuscript reviews peer-reviewed literature published from 2010-2012 relevant to the management of chronic pain in the primary care setting.
  
  
  METHODS
  Narrative review of peer-reviewed literature.
  
  
  METHODS
  We searched MEDLINE, PubMed, and reference lists and queried expert contacts for English-language studies related to the management of chronic noncancer pain in adult patients in primary care settings. One investigator reviewed all eligible studies for relevance, and 47 studies were reviewed by all authors and rated according to their impact on 1) primary care clinical practice, 2) policy, 3) research, and 4) quality of study methods. Through iterative discussion, nine articles were selected for detailed review and discussion.
  
  
  RESULTS
  We present articles in six topic areas: interventional pain management; opioid dose and risk of overdose death; neuropathic pain; yoga for chronic low back pain; cognitive behavioral therapy; and systematic approaches to treating back pain. We discuss implications for pain management in primary care.
  
  
  CONCLUSIONS
  There is growing evidence for the risks, benefits, and limitations of the multiple modalities available to primary care providers for the management of chronic pain. The dissemination and implementation of the evidence from these studies as well as novel system-level interventions warrant additional study and support from clinicians, educators, and policy makers.
authors.affiliation: Denver VA Medical Center, Division of General Internal Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.
authors.forename: Joseph W
authors.initials: JW
authors.lastname: Frank
authors.forename: Matthew J
authors.initials: MJ
authors.lastname: Bair
authors.forename: William C
authors.initials: WC
authors.lastname: Becker
authors.forename: Erin E
authors.initials: EE
authors.lastname: Krebs
authors.forename: Jane M
authors.initials: JM
authors.lastname: Liebschutz
authors.forename: Daniel P
authors.initials: DP
authors.lastname: Alford
mesh_terms: D000700:Analgesics / Q000627:therapeutic use*; D059350:Chronic Pain / Q000188:drug therapy*; D019317:Evidence-Based Medicine; D006801:Humans; D017116:Low Back Pain / Q000188:drug therapy*; D059408:Pain Management; D011320:Primary Health Care
chemical_list: D000700:Analgesics
keywords: Exercise; Interventional; Neuropathic Pain; Opioids; Pain Management; Physical Therapy; Primary Care; Psychotherapy