A Review of Current Therapeutic Practice for the Management of Chronic Pain

Abstract

This literature review covers current evidence-based practice in chronic pain management, proposes a model of intervention and examines future directions for clinical practice and research in this field. The literature search was conducted over three databases; Pubmed, OT Seeker and Pedro. Literature published from 2004 to 2013 was included in the search. The majority of the articles reviewed were recent (2008 to 2013) however a few articles and one book prior to these dates were included as they are important studies and reviews that have remained key to the management of chronic pain. The initial search yielded a total of 3221 articles and books. This was systematically narrowed down to 229 relevant articles and books. A total of 25 articles including three books were eventually used to review the current treatment approaches and modalities used in the management of chronic pain by occupational therapists. Modalities reviewed include graded motor imagery, pain education, yoga and the role of an interdisciplinary approach. A review revealed a need for further research in the field of chronic pain rehabilitation.

Key Words: Chronic pain, pain management, therapeutic modalities