This page is a work-in-progress.

The diagram below illustrates the many facets of a treatment plan for persistent pain. Information about each of these aspects will be added below.

Click on the elements below to learn more about the particular topic. (Work in progress)

Element 1: Exclude Progressive Disease.

Element 2: Understand Pain.

Element 3: Exercise.

Element 4: Diet.

Element 5: Sleep Hygiene.

Element 6: Invasive Procedures.  

Element 7: Medications.

Element 8: Social Contacts.

Element 9: Distraction.

Element 10: Psychological Assessment.

Element 11: Multidisciplinary Clinics.

Recommendations for Patient Selection in Spinal Cord Stimulation

Article Abstract: "Studies have shown that spinal cord stimulation (SCS) can reduce chronic pain by at least 50% over prolonged periods, improve function and quality-of-life, reduce requirements for healthcare resources and enable return to work in appropriately selected patients. However, SCS does not provide pain relief in all patients and is an expensive, labor intensive and invasive procedure with complications and ongoing management that requires specialists with specific skills and judgment. Multidisciplinary selection of appropriate patients for SCS is essential to achieve maximal benefit from the procedure. The aim of the article is to provide a clinical practice guide to the likely effectiveness of SCS in treating various types of chronic pain, as supported by the literature. The article will summarize indications and contraindications for SCS, provide guidance on the selection and timing for referral, and highlight the benefits and complications associated with the procedure."

Click here to download the complete article (PDF file).