Chronic Pain Rehabilitation

Chronic Pain Programme

A.Bio-psychosocial Model
Chronic Pain Vicious Cycle



B. Milestones  
  1. Pain Relief Strategies
    • It will be done in the first to third sessions, depends on the pain severity
    • Empower patient to manage pain at home/ office, e.g. by the use of pain relief modalities
    • Relaxation

        

    • Graded household activities and appropriate therapeutic exercises
  2. Functional Restoration:  in the first 5 sessions
    • Realistic Function Goal Setting and the rehabilitation strategies
  3. Rehabilitation with cognitive behavioral approach when indicated: in the first 10 sessions
    • Pacing, graded exercise program (Photo: treadmill, cycling), daily living activities (ADL) adjustment

        

    • To achieve quantifiable functional outcomes and ADL independent
  4. Return to work or specific training for sports


C. Multidisciplinary Team Approach
  1. Physiotherapy
  2. Rehabilitation doctor
  3. Rheumatology specialist
  4. Anesthesiologist with special training in Pain
  5. Clinical Psychologist

D. Who are indicated for Chronic Pain Programme:
  1. Myofascial Pain Syndrome
  2. Chronic mechanical Neck and Back Pain
  3. Fibromyalgia
  4. Rheumatological conditions, eg. Rheumatoid Arthritis, Ankylosing Spondylitis,  Systematic Lupus Erythematosis etc