Most people have pain for a short time, but some suffer from chronic pain, which can last for 12 weeks or more.
Chronic pain interferes with a patient’s mental health, ability to work and ability to relate to other people at times, according to Dr. Stephen Dobscha, a psychiatrist at the Portland Veterans Affairs Medical Center in Oregon.
Most chronic-pain patients go to primary-care doctors, instead of chronic pain specialists. Researchers at the Portland VA Medical Center looked at whether a treatment method called collaborative care may be more effective.
“What you see in a collaborative intervention is adding what's called a decision-support team or some experts to the primary-care setting to help primary-care providers deliver the best care,” Dobscha said.
Researchers followed two groups of veterans with musculoskeletal pain for one year. One group continued seeing a primary-care doctor without the additional education or specialist support offered to the second group of patients.
In the second group, specialists developed a personal treatment plan and charted patients' progress on functional goals.
The second group experienced modest improvements in functioning and less pain.
“We were able to do it in a population that was older and that had very long-standing pain on average and who had multiple medical problems,” Dobscha said.
Researchers said the results reinforced the idea that a collaborative-care approach is more effective in treating a variety of chronic conditions.





WRAL.com welcomes your comments on this story. All comments are moderated prior to publication based on our posting guidelines. Please review them prior to posting and if your message is not approved.
This story is closed for comments. Comments on WRAL.com news stories are accepted and moderated between the hours of 8 a.m. and 8 p.m. Monday through Friday.
March 25, 2009 10:37 a.m.
March 24, 2009 5:47 p.m.