Chronic pain medical therapy

Jump to navigation Jump to search

Chronic Pain Microchapters


Patient Information


Historical Perspective




Epidemiology and Demographics

Natural History, Complications and Prognosis


History and Symptoms

Physical Examination

Laboratory Findings

Other Diagnostic Studies


Medical Therapy

Case Studies

Case #1

Chronic pain medical therapy On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides


American Roentgen Ray Society Images of Chronic pain medical therapy

All Images
Echo & Ultrasound
CT Images

Ongoing Trials at Clinical

US National Guidelines Clearinghouse

NICE Guidance

FDA on Chronic pain medical therapy

CDC on Chronic pain medical therapy

Chronic pain medical therapy in the news

Blogs on Chronic pain medical therapy

Directions to Hospitals Treating Chronic pain

Risk calculators and risk factors for Chronic pain medical therapy

Robert G. Badgett, M.D.[1]

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:

  1. Understanding pain/pain education and role of pain coping skills
  2. Applying progressive muscle relaxation (PMR) and adaptation model.
  3. Activity-rest cycle
  4. Pleasant activity scheduling
  5. Relaxation mini-practices
  6. Pleasant imagery
  7. Emotional regulation: leaning in
  8. Emotional regulation: leaning out
  9. Cognitive restructuring
  10. Use of calming self-statements
  11. Problem-solving/reinforcing the application of learned skills
  12. Relapse prevention and maintenance enhancement training


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]


  1. 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).
  2. Geertzen JH, Van Wilgen CP, Schrier E, Dijkstra PU (2006). "Chronic pain in rehabilitation medicine". Disability and rehabilitation. 28 (6): 363–7. PMID 16492632.

Template:WikiDoc Sources