Multidisciplinary pain centers and clinics

Multidisciplinary pain centers and clinics treat pain as a complex syndrome. To adequately address the numerous problems encompassed by chronic pain, the pain facilities offer an integrated treatment team--including a primary-care doctor, surgeon, psychologist or psychiatrist, nurse, physical therapist, occupational therapist, vocational counselor, and social worker--that works together to manage each patient.

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For example, in addition to traditional medical management, patients may receive physical therapy to achieve strength, flexibility, aerobic conditioning, a renewed feeling of fitness, and a more active life. Behavioral management--including group counseling and strategies such as relaxation training, biofeedback, and stress management--can help people develop coping skills and reduce social withdrawal, depression, and feelings of helplessness.

Since the quality of care varies from one program to another, finding the right one requires careful consideration. Your doctor may be able to recommend a facility, or you can contact the Commission on Accreditation of Rehabilitation Facilities (888-281-6531 or www.carf.org), which will provide a list of accredited programs near you. (While not required, accreditation can offer some measure of assurance that the program is comprehensive. Some insurance plans cover only accredited facilities.) The American Pain Society (847-375-4715 or www.ampainsoc.org) also can provide information about local pain centers.