What is the role of pain clinics in the treatment of low back pain (LBP) and sciatica?

Updated: Aug 22, 2018
  • Author: Jasvinder Chawla, MD, MBA; Chief Editor: Stephen A Berman, MD, PhD, MBA  more...
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Answer

Answer

Behavioral/cognitive-behavioral, inpatient/outpatient, multidisciplinary pain clinics are usually considered to be the treatment option of last resort. This course of treatment is usually offered late in the course of cLBP, typically after the patient has adopted a disabled lifestyle automated by refractory operant influences. True behavioral modification is most effectively accomplished in an inpatient setting, where all aspects of the patient's waking and sleeping activities can be structured and controlled. The cost of hospitalization and interdisciplinary services in this venue must be weighed against other economic factors, such as those related to further medical or surgical care, loss of productivity, and compensated disability.

Cognitive-behavioral pain treatment programs are usually combined with FR and prove to be a successful treatment for many. Validation of using pain treatment centers is usually based on presumed future cost savings.


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