Physical Medicine Rehabilitation Approach to Pain

Steven P. Stanos*, James McLean, Lynn Rader

*Corresponding author for this work

Research output: Contribution to journalReview article

4 Scopus citations

Abstract

A physical medicine and rehabilitation approach to acute and chronic pain syndromes includes a wide spectrum of treatment focus. Management includes an assessment and treatment model based on a biopsychosocial approach. Assessment includes a focus on pain behaviors, posture, muscle imbalances, and gait impairments. Effective treatment programs rely on appropriate and realistic goal setting. Treatment options may include physical therapy, polypharmacy, cognitive behavioral therapy, and passive modalities. Treatment goals emphasize achieving analgesia, improving psychosocial functioning, and reintegration of recreational or leisure pursuits. More complicated multidimensional chronic pain conditions may require a more collaborative continuum of multidisciplinary and interdisciplinary treatment approaches. Progress in all therapies necessitates close monitoring by the health care provider and ongoing communication between members of the treatment team.

Original languageEnglish (US)
Pages (from-to)721-759
Number of pages39
JournalAnesthesiology Clinics
Volume25
Issue number4
DOIs
StatePublished - Dec 1 2007

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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