Management of chronic pain in primary care
Abstract
PURPOSE OF REVIEW: To examine recent and current evidence available to guide the management of chronic pain in primary care. RECENT FINDINGS: The growing profile of chronic pain has facilitated some important consensus and guideline statements. Pharmacological management, based on available evidence and consensus, is essential in managing chronic pain in primary care, as part of a holistic approach, and with regular review. Studies of primary care management of chronic pain face considerable challenges, with assessment and interventions that are complex, and involving multidisciplinary approaches. Recent research evidence points to the effectiveness and feasibility of multidisciplinary interventions, with appropriate assessment and training. Specifically, a self-management programme, 'collaborative care', a cognitive-behavioural approach, and the Alexander technique show evidence of effectiveness in primary care, the latter two also proving cost-effective. SUMMARY: Most chronic pain presents and is managed in primary care; yet, most evidence for its management is difficult to apply in the primary care setting. Despite growing evidence for the management of chronic pain generally, management in primary care must be largely guided by consensus, experience, and judicious extrapolation from research in other contexts or conditions. A need for increased and on-going education and resources is apparent, as is the need for more research based in primary care.
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The assessment and management of chronic pain in general practice is challenging because of its complex multimodal nature (including physical, psychological and social factors) and restrictions imposed by available time and resources.
“The assessment and management of chronic pain in general practice is challenging because of its complex multimodal nature (including physical, psychological and social factors) and restrictions imposed by available time and resources [23].”
From Identification and Management of Chronic Pain in Primary Care: a Review (2016) · cites this paper as [23]
PMPs are effective in both primary and secondary care.
“PMPs are effective in both primary and secondary care [23].”
From Identification and Management of Chronic Pain in Primary Care: a Review (2016) · cites this paper as [23]
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- Authors
- Smith, B. H., & Torrance, N.
- Affiliations
- University of Aberdeen (GB)
- Corresponding author
- Smith, Blair H
- Venue
- Current Opinion in Supportive & Palliative Care
- Published
- 2011-06
- Volume
- 5
- Issue
- 2
- Pages
- 137-142
- ISSN
- 1751-4258 (ISSN-L)
- OpenAlex
- W2061274649
- Cited by
- 63
- References
- 47
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 5 · 2023: 2 · 2022: 4 · 2021: 4 · 2020: 7 · 2019: 4 · 2018: 6 · 2017: 3 · 2016: 4 · 2015: 4 · 2014: 4 · 2013: 6 · 2012: 4
- FWCI
- 0.60
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Current Opinion in Supportive and Palliative Care (publishedVersion)
- PubMed (publishedVersion)
- Discovery Research Portal (University of Dundee) (submittedVersion)
- Funders
- Pfizer UK
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
- Keywords
- chronic pain, primary care, pharmacological management, multidisciplinary intervention, collaborative care, self-management program, cognitive behavioral therapy, Alexander Technique, pain assessment, cost-effectiveness, clinical guidelines
- MeSH terms
- Analgesics, Opioid, Antidepressive Agents, Chronic Disease, Cost-Benefit Analysis, Holistic Health, Humans, Pain, Primary Health Care, Quality of Life, Self Care, Cognitive Behavioral Therapy, Sickness Impact Profile, Pain Management
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