Perlman S L
West J Med. 1988 Jan;148(1):54-61.
Even clinicians who keep up with the research literature on pain mechanisms may find themselves uncertain when trying to bring these new theories down to practical application for a patient with pain. The areas of dysfunction to be attacked should be systematically outlined, a complementary set of treatments be decided on, and follow-through be done in a reasonable number of visits. Physicians must also know when to refer a patient who goes beyond their own assessment and treatment skills.
即使是那些紧跟疼痛机制研究文献的临床医生,在试图将这些新理论应用于疼痛患者的实际治疗时,也可能会感到不确定。应该系统地勾勒出要解决的功能障碍区域,确定一套互补的治疗方法,并在合理数量的就诊中进行跟进。医生还必须知道何时将超出自己评估和治疗技能范围的患者转诊。