Scripps Center for Integrative Medicine, 10820 North Torrey Pines Road, Maildrop FC2, La Jolla, CA 92037, USA.
Med Clin North Am. 2017 Sep;101(5):987-1004. doi: 10.1016/j.mcna.2017.04.012.
Chronic pain is one of the most common conditions seen in the clinic, and it is often one of the most frustrating for both clinicians and patients. This condition stems from common comorbidities, including depression, insomnia, fatigue, and physical deconditioning, which often create barriers to recovery. In addition, chronic pain has had divergent approaches for treatment, including an overemphasis on analgesia and curative treatments while underemphasizing the biopsychosocial needs of those in pain. This article attempts to provide an initial framework for approaching those in pain and initiating patient-centered options to support improvements in pain, function, and self-care.
慢性疼痛是临床中最常见的病症之一,也是临床医生和患者最感沮丧的病症之一。这种病症源于常见的合并症,包括抑郁、失眠、疲劳和身体机能下降,这些常常成为康复的障碍。此外,慢性疼痛的治疗方法也存在分歧,包括过度强调镇痛和治愈性治疗,而对疼痛患者的生物心理社会需求重视不够。本文试图为治疗疼痛患者提供一个初步的框架,并启动以患者为中心的选择,以支持改善疼痛、功能和自我护理。