Patients with Chronic Pain

Joseph Salama-Hanna, Grace Chen

Research output: Contribution to journalReview articlepeer-review

12 Scopus citations


Preoperative evaluation of patients with chronic pain is important because it may lead to multidisciplinary preoperative treatment of patients' pain and a multimodal analgesia plan for effective pain control. Preoperative multidisciplinary management of chronic pain and comorbid conditions, such as depression, anxiety, deconditioning, and opioid tolerance, can improve patient satisfaction and surgical recovery. Multimodal analgesia using pharmacologic and nonpharmacologic strategies shifts the burden of analgesia away from simply increasing opioid dosing. In more complicated chronic pain patients, multidisciplinary treatment, including pain psychology, physical therapy, judicious medication management, and minimally invasive interventions by pain specialists, can improve patients' satisfaction and surgical outcome.

Original languageEnglish (US)
Pages (from-to)1201-1215
Number of pages15
JournalMedical Clinics of North America
Issue number6
StatePublished - Nov 2013


  • Buprenorphine
  • Multidisciplinary pain treatment
  • Multimodal analgesia
  • Opioid tolerance
  • Postoperative pain
  • Preoperative evaluation
  • Preoperative opioid abuse

ASJC Scopus subject areas

  • Medicine(all)


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