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Treatment of Chronic Pain

Fairview Pain Management Center, University of Minnesota College of Pharmacy, vghafoo1{at}fairview.org

Chronic pain is a symptom associated with ongoing physical or mental illness or a combination of both that may not have a clear, identifiable pathophysiology. Assessment of chronic pain varies in the clinical presentation related to age, gender, racial, and cultural differences. Headache, low back pain, musculoskeletal pain, and neuropathic pain are the most common types of chronic pain complaints by patients. Pharmacologic therapy is based on best practice standards, published clinical trials, and guidelines by professional organizations. Current medications reviewed include opioids, anticonvulsants, antidepressants, clonidine, local anesthetics, muscle relaxants, N-methyl-D-aspartate antagonists, and nonsteroidal anti-inflammatory drugs.

Key Words: Headache • low back pain • musculoskeletal pain • neuropathic pain.

Journal of Pharmacy Practice, Vol. 16, No. 4, 249-260 (2003)
DOI: 10.1177/0897190003258503


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