Seminars in Neurosurgery 2004; 15(1): 13-29
DOI: 10.1055/s-2004-830011
Copyright © 2004 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Multidisciplinary Pain Management

John D. Loeser1 , 2 , Dennis C. Turk2
  • 1Department of Neurological Surgery, University of Washington, Seattle, Washington
  • 2Department of Anesthesiology, University of Washington, Seattle, Washington
Further Information

Publication History

Publication Date:
07 July 2004 (online)

The realization that chronic pain and acute pain might have different mechanisms has led to important developments in both research and patients' care. Basic research paradigms that focus upon long-term changes in tissues and the nervous system have led to useful models for chronic pain. Clinical research has shown that strategies effective for acute pain often fail in patients with chronic pain and that there is utility in the cognitive-behavioral approach to the management of patients with chronic pain. We discuss the history and implementation of comprehensive multidisciplinary pain diagnosis and treatment. We conclude with a review of the data on outcomes and cost-effectiveness for multidisciplinary pain management.