title: Multimodal Treatment of Chronic Pain.
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.
authors.affiliation: Harborview Medical Center, Anesthesiology and Pain Medicine, Box 359724, 325 Ninth Ave, Seattle, WA 98104, USA. Electronic address: rdale@uw.edu.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Dale
authors.affiliation: Anesthesiology and Pain Medicine, UW Center for Pain Relief, University of Washington, 4225 Roosevelt Way Northeast, Box 354693, Seattle, WA 98105, USA.
authors.forename: Brett
authors.initials: B
authors.lastname: Stacey
mesh_terms: D000698:Analgesia / Q000379:methods*; D059350:Chronic Pain / Q000188:drug therapy / Q000628:therapy*; D015928:Cognitive Behavioral Therapy / Q000379:methods; D003131:Combined Modality Therapy / Q000379:methods*; D004599:Electric Stimulation Therapy / Q000379:methods; D006801:Humans; D059408:Pain Management / Q000379:methods*; D010147:Pain Measurement; D011613:Psychotherapy / Q000379:methods; D011788:Quality of Life; D050781:Transcranial Magnetic Stimulation / Q000379:methods
keywords: Chronic pain treatment; Combination therapy; Interdisciplinary pain treatment; Multidisciplinary chronic pain treatment; Multimodal