Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Sandner-Kiesling, A; Schöpfer, A.
A Chronic Pain Patient: Modern Diagnosis and Concept of Therapy.
Psychiatr Danub. 2010; 22(3):459-464
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PubMed
- Führende Autor*innen der Med Uni Graz
- Sandner-Kiesling Andreas
- Co-Autor*innen der Med Uni Graz
- Schöpfer Andreas
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- Abstract:
- Approximately 80 per cent of primary care patients seek their physician's attention due to pain. A fifth of the population suffers from chronic pain with medium to high intensity, and longer than 3 months. Especially those patients are treated insufficiently when only non-opioids and opioids are applied. Therefore it is necessary to tailor pain therapy by using an interdisciplinary, multimodal treatment regimen. This article presents a holistic concept to chronic pain treatment by using the five columns of pain therapy. Based on the bio-psycho-social approach, pharmaceutical, complimentary (first column), physio- and psychotherapeutic (2(nd) and 3(rd) column), social and invasive interventions (4(th) and 5(th) column) have to be considered. The 1(st) column includes the WHO ladder, in chronic pain patients with a large focus on co-analgesics like antidepressants or antiepileptics. Based on the individual history and factors achieved from the bio-psycho-social diagnosis, components of these 5 therapeutic are selected, always in agreement with the patient, and put together to one interdisciplinary therapeutic concept.
- Find related publications in this database (using NLM MeSH Indexing)
- Algorithms -
- Analgesics - therapeutic use
- Analgesics, Opioid - therapeutic use
- Chronic Disease -
- Combined Modality Therapy -
- Complementary Therapies -
- Cooperative Behavior -
- Critical Pathways -
- Drug Therapy, Combination -
- Humans -
- Interdisciplinary Communication -
- Neoplasms - physiopathology
- Nerve Block -
- Pain - diagnosis
- Patient Care Team -
- Physical Therapy Modalities -
- Psychotherapy -
- World Health Organization -
- Find related publications in this database (Keywords)
- chronic pain
- pain therapy