Professionally Directed Non-Pharmacological Management of Chronic Pain (DRAFT)

2018 ◽  
Author(s):  
Peter Przekop
Keyword(s):  
Chronic Pain ◽  
Support Groups ◽  
Tai Chi ◽  
Relaxation Training ◽  
Mindfulness Meditation ◽  
Behavioral Therapy ◽  
Medication Management ◽  
Qi Gong ◽  
Pharmacological Management ◽  
Psychosocial Treatments

This chapter is a complement to Chapter 15, concentrating on the non-pharmacological approaches to chronic pain. It features a discussion on the utility of mind-body therapies, psychosocial treatments, and technology-based therapies in the context of recovery through 12-Step programs and other mutual support groups. Such settings are commonly poorly receptive to medication management of either pain or addiction; the availability of other approaches can bridge the gap, leading to effective management of both. The therapies discussed include “movement” therapies, such as internal qi gong, tai chi, yoga, and martial arts. Healing touch, reiki, external qi gong, and acupuncture are examples of “energy” therapies, requiring an intercessor. Among the psychosocial treatments are motivational interviewing, cognitive restructuring, cognitive behavioral therapy, acceptance-based cognitive therapy, operant training, hypnosis, relaxation training, and mindfulness/meditation. Addressed as procedures are massage, chiropractic and osteopathic manipulations, trans-epidermal nerve stimulation (TENS), and transcranial magnetic stimulation (TMS).

Complementary and Integrative Health Interventions for Insomnia in Veterans and Military Populations

2021 ◽  
pp. 003329412110484
Author(s):  
Julie K. Staples ◽  
Courtney Gibson ◽  
Madeline Uddo
Keyword(s):  
Sleep Disturbances ◽  
Tai Chi ◽  
Mindfulness Meditation ◽  
Behavioral Therapy ◽  
Hippocampal Volume ◽  
Gamma Aminobutyric Acid ◽  
Integrative Health ◽  
Acid Acid ◽  
Military Populations

Insomnia can be a serious problem diminishing quality of life for Veterans and military populations with and without posttraumatic stress disorder (PTSD). Sleep disturbances are one of the symptoms of PTSD but even after evidence-based PTSD treatments, insomnia symptoms often remain. The primary approaches for treating insomnia are cognitive behavioral therapy for insomnia (CBT-I) and pharmacotherapy. However, each of these treatments has drawbacks. Complementary and Integrative Health (CIH) approaches such as mindfulness meditation, mantram meditation, yoga, and tai chi may provide alternative treatments for insomnia in military populations. This paper provides a brief review of studies on CIH interventions for sleep disturbances in Veterans. It also proposes possible mechanisms by which CIH practices may be effective, including increasing hippocampal volume and gamma-aminobutyric acid acid (GABA). Finally, the acceptability of CIH approaches among Veterans is discussed.

Psychotherapeutic interventions for chronic pain: Evidence, rationale, and advantages

2018 ◽  
Vol 54 (2) ◽  
pp. 140-149 ◽  
Author(s):  
Muhammad Hassan Majeed ◽  
Ali Ahsan Ali ◽  
Donna M Sudak
Keyword(s):  
Primary Care ◽  
Chronic Pain ◽  
Behavioral Therapy ◽  
Health Resources ◽  
Opioid Use ◽  
Medical Problems ◽  
Pharmacological Management ◽  
Acceptance And Commitment ◽  
Primary Care Clinicians ◽  
The Individual

Background Long-term use of opioids to treat chronic pain incurs serious risks for the individual—including misuse, abuse, addiction, overdose and death—as well as creating economic, social, and cultural impacts on society as a whole. Chronic pain and substance use disorders are often co-morbid with other medical problems and at the present time, primary care clinicians serve most of this population. Primary care clinicians would benefit from having alternatives to opioids to employ in treating such patients. Method We electronically searched different medical databases for studies evaluating the effect of nonpharmacological treatments for chronic pain. We describe alternative approaches for the treatment of chronic pain and cite studies that provide substantial evidence in favor of the use of these treatments. Results Cognitive behavioral therapy, acceptance and commitment therapy, and mindfulness-based programs have well-documented effectiveness for the treatment of chronic nonmalignant pain. Integration of such behavioral health therapies into primary care settings may optimize health resources and improve treatment outcomes. Conclusion Evidence-based psychotherapy for chronic pain has established efficacy and safety and improves quality of life and physical and emotional functioning. Such interventions may be used as an alternative or adjunct to pharmacological management. Chronic opioid use should be reserved for individuals undergoing active cancer treatment, palliative care, or end-of-life care.

scholarly journals Chronic Pain Management in Older Adults

2019 ◽  
Vol 42 (2) ◽  
pp. 63-78
Author(s):  
Sirasa Ruangritchankul ◽  
Orapitchaya Krairit
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Pharmacological Treatment ◽  
Behavioral Therapy ◽  
Opioid Analgesics ◽  
The Elderly ◽  
Psychological Status ◽  
Chronic Pain Management ◽  
Pharmacological Management ◽  
Pain In The Elderly

Chronic pain in the elderly usually has negative impacts on physical and psychological status, therefore, early diagnosis and treatment should be performed. The principle of chronic pain management is assessment of pathophysiology which leads to different choices of treatment. Furthermore, chronic pain management in the elderly should be combined nonpharmacological such as cognitive-behavioral therapy and pharmacological treatment in order to increase efficacy of pain control. Pharmacological management for chronic pain is composed of 3 categories including nonopioid analgesics, opioid analgesics, and adjuvant medications. The strategies of pharmacological treatment in the elderly are consideration of start with a low dose and slow titration. Moreover, physicians and pharmacists should be aware of drug-drug interactions, drug-disease interactions, as well as adverse drug reactions and events during treatment.  

Integrative Sleep Medicine and Chronic Pain Management

2021 ◽  
pp. 433-448
Author(s):  
Ashwin Mehta
Keyword(s):  
Chronic Pain ◽  
Sleep Disturbances ◽  
Tai Chi ◽  
Behavioral Therapy ◽  
Treatment Strategies ◽  
Chronic Pain Management ◽  
Comprehensive Management ◽  
Physical Discomfort ◽  
Nonrestorative Sleep ◽  
Bidirectional Relationship

Widespread opioid dependency has spurred growing interest in nonpharmacologic methods of addressing chronic pain. Timely research has established a reciprocal and bidirectional relationship between physical discomfort and sleep disturbances. Thus, comprehensive management of chronic pain necessitates a thorough sleep evaluation because underlying sleep concerns can often thwart otherwise effective treatment strategies. Interventions such as cognitive-behavioral therapy are useful to loosen the psychologic association patients commonly form between chronic pain and nonrestorative sleep. Exercise and mindfulness are among those modalities with the best evidence to simultaneously address both sleep loss and chronic pain. Acupuncture, yoga, and tai chi, as well as certain herbs, can be used to stem the inflammatory cascade that frequently hinders successful treatment. Integrative approaches that promote restful sleep are of increasing importance in the context of managing chronic pain.

Qi Gong and Tai Chi: promoting practices that promote healthy aging

2008 ◽  
Author(s):  
Wojtek Chodzko-Zajko ◽  
Lynn Beattie ◽  
Rita Chow ◽  
James Firman ◽  
Roger Jahnke ◽  
...  
Keyword(s):  
Healthy Aging ◽  
Tai Chi ◽  
Qi Gong
Sign in / Sign up

Export Citation Format

Share Document