Multidisciplinary Management of Chronic Pain by Sridhar Vasudevan

Author:Sridhar Vasudevan
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham

Positive self-talk

Task persistence

No expectation of “cure”—focus on control

Self-care and self-support

Ability to ignore or control pain

Minimal catastrophizing

Minimal fear avoidance and guarding

Minimal dependency on healthcare system

Little or no opioid medication

Yet, since the 1990s, expensive and uncoordinated treatments like surgery and opioids have supplanted multidisciplinary care under the erroneous view of cost-effectiveness, though outcomes suggest otherwise (Meier 2013). For example, Rogers found that multidisciplinary care such as work hardening/work conditioning was more cost-effective in disability cases than surgery. Lower back pain patients who received work hardening/work conditioning but not surgery were half as likely to go on to have surgery and had five times fewer physician visits than those who had surgery but no work hardening/work conditioning, according to insurance information (Rogers et al. 2013). For this reason, even though work hardening/work conditioning can initially increase medical costs from $3000 to $9000, the programs actually save about $1600 per patient when lost wages and reinjury costs are factored in.

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