UI - 000091

AU - Amadio P Jr.

AU - Cummings DM

AU - Amadio PB

TI - A framework for management of chronic pain

AB - The management of chronic pain requires a physician who is motivated to provide care for patients

with this difficult problem. A thorough search must be made to determine the cause of the pain, the extent of

psychiatric overlay, the importance of the pain to the patient (litigation, secondary gain), the extent of illness

behavior and the response to previous therapy. The physician must be part of the treatment rather than part

of the problem. Narcotic analgesics should be avoided except in patients with cancer pain or terminal illness

SO - American Family Physician 1988;38:155-160