Preliminaries for a model treatment unit for pain and fatigue


Author: Anna-Li Schönenberg-Tu
Page Range: 115-122
Published in: Journal of Pain Management, 16#2 (2023)
ISSN: 1939-5914

Table of Contents


Chronic pain is a highly prevalent problem that affects patients on a physical, psychological and social level. The damage due to disability derived from chronic pain is considerable, both on a personal and a societal-economic level. The complexities of advanced pain therapy call for a multimodal approach that integrates and coordinates different therapeutic aspects and sub-specialties. To treat chronic pain adequately, it’s often necessary to address concomitant factors such as stress, depression, anxiety and fatigue, that can both result from experiencing ongoing pain as well as precede its onset. A multimodal treatment concept for pain should include specialized pain therapy, psychotherapy and education on the psycho-somatic connection between mind and body, as well as manual therapy and physical training. At present this combination is hard to put into practice in an outpatient setting as the coordination of scarce therapy slots is a challenge for both patients and healthcare-providers. This article draws on the different elements that should go into an effective treatment program for chronic pain and suggests a model that can easily be realized within ambulatory care. Since chronic pain is also a major health problem in healthcare staff, such a unit might also help to prevent work drop-out due to chronic pain of medical staff and appeal to young healthcare professionals who are interested in pursuing a more integrative approach for their career.

Keywords: Public health care, multimodal treatment approach, ambulatory care, stress, chronic pain, fatigue, inability to work, specialized pain therapy, psychotherapy, manual therapy

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