Evidence-Based Nonpharmacologic Strategies for Comprehensive Pain Care: the Consortium Pain Task Force White Paper

The Pain Task Force of the Academic Consortium for Integrative Medicine and Health

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

Consortium Pain Taskforce White Paper Summary Evidence-based Nonpharmacologic Strategies for Comprehensive Pain Care Supplementary information can be found in the online version at https://doi.org/10.1016/j.explore.2018.02.001. Medical pain management is in crisis; from the pervasiveness of pain to inadequate pain treatment, from the escalation of prescription opioids to an epidemic in addiction, diversion and overdose deaths. The rising costs of pain care and managing adverse effects of that care have prompted action from state and federal agencies including the DOD, VHA, NIH, FDA and CDC. There is pressure for pain medicine to shift away from reliance on opioids, ineffective procedures and surgeries toward comprehensive pain management that includes evidence-based nonpharmacologic options. This White Paper details the historical context and magnitude of the current pain problem including individual, social and economic impacts as well as the challenges of pain management for patients and a healthcare workforce engaging prevalent strategies not entirely based in current evidence. Detailed here is the evidence-base for nonpharmacologic therapies effective in postsurgical pain with opioid sparing, acute non-surgical pain, cancer pain and chronic pain. Therapies reviewed include acupuncture therapy, massage therapy, osteopathic and chiropractic manipulation, meditative movement therapies Tai chi and yoga, mind body behavioral interventions, dietary components and self-care/self-efficacy strategies. Transforming the system of pain care to a responsive comprehensive model necessitates that options for treatment and collaborative care must be evidence-based and include effective nonpharmacologic strategies that have the advantage of reduced risks of adverse events and addiction liability. The evidence demands a call to action to increase awareness of effective nonpharmacologic treatments for pain, to train healthcare practitioners and administrators in the evidence base of effective nonpharmacologic practice, to advocate for policy initiatives that remedy system and reimbursement barriers to evidence-informed comprehensive pain care, and to promote ongoing research and dissemination of the role of effective nonpharmacologic treatments in pain, focused on the short- and long-term therapeutic and economic impact of comprehensive care practices.

Original languageEnglish (US)
JournalExplore
DOIs
StateAccepted/In press - Jan 1 2018
Externally publishedYes

Fingerprint

Pain
Advisory Committees
Therapy
Opioids
Pain Management
Opioid Analgesics
Therapeutics
Strategy
Evidence
Osteopathic Manipulation
Chiropractic Manipulation
Economics
Tai Ji
Acupuncture Therapy
Yoga
Healthcare
Delivery of Health Care
Massage
Self Efficacy
Centers for Disease Control and Prevention (U.S.)

ASJC Scopus subject areas

  • Analysis
  • Nursing(all)
  • Chiropractics
  • Complementary and alternative medicine

Cite this

Evidence-Based Nonpharmacologic Strategies for Comprehensive Pain Care : the Consortium Pain Task Force White Paper. / The Pain Task Force of the Academic Consortium for Integrative Medicine and Health.

In: Explore, 01.01.2018.

Research output: Contribution to journalArticle

The Pain Task Force of the Academic Consortium for Integrative Medicine and Health. / Evidence-Based Nonpharmacologic Strategies for Comprehensive Pain Care : the Consortium Pain Task Force White Paper. In: Explore. 2018.
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