Abstract
Multidisciplinary long-term pain rehabilitation programs with a team of healthcare professionals are an integrated approach to treat patients with chronic non-malignant pain. In this longitudinal prospective cohort study, we investigated the long-term effects of multidisciplinary pain rehabilitation on the self-reported causes of pain, pain self-management strategies, sleep, pain severity, and pain’s interference with life, pre- and post-treatment. Eighty-one patients, aged 20–69 years, with chronic pain responded. The two most frequently reported perceived causes of pain were fibromyalgia and accidents. The difference in average self-reported pain severity decreased significantly at one-year follow-up (p < 0.001), as did pain’s interference with general activities, mood, walking ability, sleep, and enjoyment of life. At one-year follow-up, participants (21%) rated their health as good/very good and were more likely to state that it was better than a year before (20%). No change was found in the use of pain self-management strategies such as physical training at one-year follow-up. The intervention was effective for the participants, as reflected in the decreased pain severity and pain interference with life.
Highlights
Accepted: 28 September 2021The World Health Organization (WHO) has characterized chronic pain as the secondlargest contributor to disability worldwide, with lower back pain being the single leading cause of disability [1]
The present study focused on the effects of the three multidisciplinary pain rehabilitation programs in Iceland among participants with various causes of chronic pain
The results of this study indicate that follow-up after the completion of pain rehabilitation could help patients to continue to engage in healthy lifestyle activities four or more times a week
Summary
Accepted: 28 September 2021The World Health Organization (WHO) has characterized chronic pain as the secondlargest contributor to disability worldwide, with lower back pain being the single leading cause of disability [1]. Chronic pain is often considered to be nociplastic pain or pain that arises from altered nociception despite no clear evidence of actual or threatened tissue damage [3]. This type of pain can occur in isolation (such as in fibromyalgia) or as part of a mixed-pain state (as in chronic lower back pain). In Iceland, the prevalence of chronic pain is as high as 48%, and among those with chronic pain, approximately 30% experience constant pain The findings of this survey showed that the most common causes of chronic pain were myalgia, old trauma, rheumatism (e.g., rheumatoid arthritis and osteoarthritis), fibromyalgia, and migraines. Of those who reported chronic pain, 53.2% had consulted a healthcare provider for their pain, Published: 30 September 2021
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