Pain and Addiction Medicine in the Division of Addiction Medicine, Department of Psychiatry, University of Florida's Springhill Health Center, Gainesville, FL32606, USA.
Pain Med. 2010 Dec;11(12):1803-18. doi: 10.1111/j.1526-4637.2010.00982.x. Epub 2010 Oct 28.
Despite the fact that chronic pain and addiction often coexist, few pain training programs offer significant experiential and didactic training in drug abuse and addiction. Similarly, addiction medicine programs often offer little training in pain management. What follows is a review of the intersection between these two specialties from the perspective of clinicians that practice both.
The objective of this study was to review the historical backdrop, terminology, vulnerability, and neurobiology of addiction; explore the effects of drug, delivery system, timing, and environment on drug self-administration; and review strategies used in managing patients with coexisting addiction and chronic pain.
The University of Florida has training programs in both pain management and addiction medicine. The collaboration of these two subspecialties has led to the development of a successful pain management clinic that manages difficult patients based on the strategies that are discussed.
It is possible to successfully manage patients with coexisting chronic pain and addictive disorders. Addiction medicine and pain management training programs should offer didactic and experiential training in both subspecialties.
尽管慢性疼痛和成瘾常常同时存在，但很少有疼痛培训计划提供药物滥用和成瘾方面的重要经验和教学培训。同样，成瘾医学计划通常在疼痛管理方面提供的培训很少。接下来，从同时从事这两个专业的临床医生的角度，对这两个专业的交叉点进行回顾。
本研究的目的是回顾成瘾的历史背景、术语、易感性和神经生物学；探讨药物、给药系统、时间和环境对药物自我给药的影响；并回顾用于管理同时患有成瘾和慢性疼痛的患者的策略。
佛罗里达大学有疼痛管理和成瘾医学培训计划。这两个亚专业的合作导致了一个成功的疼痛管理诊所的发展，该诊所根据所讨论的策略来管理困难的患者。
可以成功管理同时患有慢性疼痛和成瘾障碍的患者。成瘾医学和疼痛管理培训计划应提供这两个亚专业的教学和实践培训。
