Disclosure: The authors report no potential conflicts of interest.
Update in Pain Medicine for Primary Care Providers: A Narrative Review, 2010–2012
Article first published online: 14 JAN 2014
Published 2014. This article is a U.S. Government work and is in the public domain in the USA.
Volume 15, Issue 3, pages 425–431, March 2014
How to Cite
Frank, J. W., Bair, M. J., Becker, W. C., Krebs, E. E., Liebschutz, J. M. and Alford, D. P. (2014), Update in Pain Medicine for Primary Care Providers: A Narrative Review, 2010–2012. Pain Medicine, 15: 425–431. doi: 10.1111/pme.12337
- Issue published online: 6 MAR 2014
- Article first published online: 14 JAN 2014
- National Research Service Award. Grant Number: T32HP10251
- VA HSR&D Research Career Development Awards
- Pain Management;
- Primary Care;
- Neuropathic Pain;
- Physical Therapy
This manuscript reviews peer-reviewed literature published from 2010–2012 relevant to the management of chronic pain in the primary care setting.
Narrative review of peer-reviewed literature.
We searched MEDLINE, PubMed, and reference lists and queried expert contacts for English-language studies related to the management of chronic noncancer pain in adult patients in primary care settings. One investigator reviewed all eligible studies for relevance, and 47 studies were reviewed by all authors and rated according to their impact on 1) primary care clinical practice, 2) policy, 3) research, and 4) quality of study methods. Through iterative discussion, nine articles were selected for detailed review and discussion.
We present articles in six topic areas: interventional pain management; opioid dose and risk of overdose death; neuropathic pain; yoga for chronic low back pain; cognitive behavioral therapy; and systematic approaches to treating back pain. We discuss implications for pain management in primary care.
There is growing evidence for the risks, benefits, and limitations of the multiple modalities available to primary care providers for the management of chronic pain. The dissemination and implementation of the evidence from these studies as well as novel system-level interventions warrant additional study and support from clinicians, educators, and policy makers.