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Pain is a long-standing problem of epidemic proportions in America, with 83 million adults living with pain that affects their participation in daily activities, and 75 million people with chronic debilitating pain. Chronic pain negatively impacts all aspects of an individual's life, including emotional, vocational, financial and social elements. While more than 80% of all physician visits are for chronic pain, the majority of health care providers have little or no training specific to pain medicine and management. Various approaches have been tried to encourage patients and healthcare providers to talk about pain and to allow for adequate treatment. A key factor in the underassessment of pain is that sometimes patients do not report their pain. Despite the physical and financial toll, millions of people continue to suffer needlessly, unaware of effective pain-management options. The author is president of the American Academy of Pain Medicine who writes about an interdisciplinary chronic pain-management approach that integrates conventional and alternative techniques, including pharmacology, neuroscience, experimental procedures, and mind-body medicine. Written by physicians at the Mayo Clinic, this book is a comprehensive resource on managing chronic pain and living an active and productive lifestyle. The author is a pain and addiction medicine specialist who provides a thorough guide to pharmaceutical therapies, non-drug alternatives, and a frank discussion on opioids. Provides the latest information on evaluating alternative therapies and integrating them into clinical practice. The official peer-reviewed journal of the American Academy of Pain Management, serves as a vehicle for the transmission of knowledge related to the study and practice of pain management.
The official publication of the Eastern Pain Association, this journal explores all aspects of pain and its effective multi-disciplinary treatment—both conventional and complementary.
This peer-reviewed journal includes clinical trials, observational and analytical reports on treatments outside the realm of allopathic medicine. This is the official scientific publication of the American Osteopathic Association, as well as the scholarly peer-reviewed publication of the osteopathic medical profession. This journal publishes original articles related to all aspects of pain, including clinical and basic research, patient care, education, and health policy. This peer-reviewed journal provides the professional with the results of important new research and clinical information related to pain management and palliative care.
The official publication of the International Association for the Study of Pain, publishing original research on the nature, mechanisms and treatment of pain. The official journal of the American Academy of Pain Medicine is a multi-disciplinary journal dedicated to the advancement of pain management, education and research.
A summary of several alternative therapies often used as an adjunct to conventional pain management, including a description of the technique, what it is used for, and evidential support. Investigates the possible effects of a combined spa and physical therapy program on pain and hemodynamic responses in various chronic diseases. A systematic literature review of whether there is evidence for or against the efficacy of static magnets to produce analgesia. A Continuing Medical Education article that discusses inflammation as the underlying basis of a number of diseases. An overview of the physiology of pain, why people pursue complementary or alternative care, and an evidence-based description of how osteopathic manipulation can improve chronic pain. A review of randomized, controlled trials evaluating acupuncture’s effectiveness for treating low back pain found acupuncture effectively relieves low back pain. Nonmalignant, chronic pain is associated with physical, emotional and financial disability. The Journal of the American Osteopathic Association, November 2004, Volume 104 (11): 6-12. A review of peer-reviewed medical literature on the nonpharmacologic management of chronic pain supports the use of manipulation and mobilization, exercise, psychological intervention.
A systematic review and meta-analysis of the efficacy of selected CAM therapies for pain from arthritis and related conditions (acupuncture, homeopathy, herbal remedies, and selected nutritional supplements), shows there is evidential support for some therapies, but a need for additional high quality research for other therapies, especially for herbals and homeopathy. A non-profit, inclusive, interdisciplinary organization serving clinicians who treat people with pain through education, setting standards of care, and advocacy. The AAPM is the medical specialty society representing physicians practicing in pain medicine, and is involved in education, training, advocacy, and research. The national medical society for physiatrists, who are physicians specializing in restoring function for those with acute and chronic pain, musculoskeletal problems, traumatic pain and more. The IASP is an international non-profit multi-disciplinary organization dedicated to furthering research on pain and improving the care of patients with pain.
Although partially funded by corporate sponsorships, the ACPA is a non-profit organization that supports and provides information for people with chronic pain and their families. A non-profit organization that is partially funded by corporate sponsors which serves people with pain through information, advocacy, and support.

Funded partially by corporate sponsorships, the NPF is a non-profit organization established to advance functional recovery of persons in pain.
Dedicated to serving the rehabilitation and intervention needs of people with acute or chronic long-term pain, the department provides comprehensive specialized care with an interdisciplinary team approach. This center consists of a multi-disciplinary group of professionals dedicated to alleviating pain through a comprehensive medical and behavioral approach.
This center offers a 21-day integrative program that focuses on helping people manage chronic pain so they can be restored to a lifestyle of comfortable function and mobility. This article provides an overview of specialized pain treatment, how to find a clinic, and what to think about before choosing a facility. This center offers pain relief programs that integrate several approaches to address the behavioral, emotional, spiritual and physical dimensions of pain. This organization is from the Beth Israel Medical Center Department of Pain Medicine & Palliative Care, which is part of a non-profit hospital system in New York City. The Pain Management Center has offered comprehensive therapies for nearly thirty years for a variety of pain syndromes. This site offers patient care from specialists in Integrative Medicine in an environment supported by the University of Maryland Integrative Medicine research program, providing patients with individualized treatment options.
The consortium was established to enhance pain research and promote collaboration among researchers across the many NIH Institutes and Centers that have programs and activities addressing pain. Use this site to find information about clinical research, including listings of more than 41,000 active industry and government-sponsored clinical trials, as well as new drug therapies in research and those recently approved by the FDA.
NOTE: Promotional and commercial sites are not included in this listing unless they provide significant impartial information resources. A forum for people living with chronic pain to seek support through chat rooms and message board. A listing of conventional and alternative medicine Internet resources for general and specific types of pain.
This educational and informational Internet source for pain practitioners and patients, provides directories for support groups, pain clinics, and various other resources. American WholeHealth Networks' Complementary and Alternative Medicine (CAM) education website.
This article describes the results of expanding psychological services for veterans being seen in an interdisciplinary pain management program to include 5 choices of complementary and alternative medicine (CAM) approaches at the Michael E. 32 Veterans participated during the review period, resulting in a total of 197 visits to one or more of the 32 CAM groups offered from 03–01-2009 to 05–22-2009. Veterans reported substantial “improvements since last session” especially in pain and sense of well-being (73% and 74%, respectively). Monthly administration of a set of 4 brief, standardized assessment tools was used as a supplement to the session rating forms to assess and monitor progress on 4 outcome domains in addition to pain intensity: anxiety, depression, sleep quality, and sense of well being. Hypothesis 1 stated that CAM therapies would be acceptable to Veterans and feasible for clinicians to implement in a pain management program.
These findings indicate that the CAM therapies could be easily incorporated into a traditional pain management program. The American Institute of Stress is a non-profit 501(c) 3 corporation established in 1979 pursuant to section 405 of the New York State Not-For-Profit Corporation Law.
The entire family may be dramatically affected, and many feel isolated because they can no longer work or must drop out of their normal activities, thus further isolating themselves from friends and family. The goals of an appropriate pain management program should be to decrease pain and suffering, improve physical and mental functioning, and to ensure improved quality of life. Physicians attitudes toward pain and the use of opioid analgesics: results of a survey from the Texas cancer pain initiative. Dillard, director of Complementary Medicine Services at the University Pain Center in Manhattan offers this comprehensive guide to understanding chronic pain and available alternative and conventional medicine treatments. Topics include causes of chronic pain, exercises, pain medications, support, alternative therapies, new techniques, and goals. Caudill has developed a program from her experience as a pain specialist that focuses on teaching chronic pain sufferers how to cope with their pain. Cochran's over 40 years of experience in treating his patients suffering from chronic pain.
Johnson presents case histories of actual patients, details specific examination procedures to provide an in-depth diagnosis of each condition, precise explanations of the treatments used, and explanations of how chronic conditions originate. Marcus has established and directed several pain clinics, writes about his narcotics-free pain treatment program, used at Lenox Hill Hospital. It includes current concepts in clinical care, including that for chronic pain, for health care professionals and scientists seeking to evaluate and integrate these therapies into patient care protocols and research strategies.
Treatment of chronic pain involves a comprehensive approach using medication and functional rehabilitation.

Goals include improving the quality of life of people with pain by raising public awareness, providing practical information, promoting research, and advocating increased access to effective pain management.
Services offered are medical management, acupuncture, energy work, musculoskeletal treatments, percutaneous electrical nerve stimulation, biofeedback, stress management, and many more conventional and alternative therapies. Personalized pain management programs may include: psychosocial evaluation, stress management, and 8-week comprehensive integrative pain management program, acupuncture, biofeedback, massage therapy, spirituality classes and much more.
Click on pain medicine to learn about common chronic pain disorders, integrative treatment strategies, prescription and non-prescription medications, and new innovations in pain research. The site is dedicated to providing integrative health and wellness solutions by combining the resources of both scientific health research and CAM. Incorporating Complementary and Alternative Medicine (CAM) Therapies to Expand Psychological Services to Veterans Suffering From Chronic Pain. Among the 5 CAM portable devices made available to the Veterans (the option of switching devices between sessions was permitted), a majority opted for the AS (73%), followed by 11% for the SE, 6% for the EW, 6% for the RR, and 4% for the AVS. This hypothesis was supported by results of informal retrospective review by clinicians of the ease of recruiting and enrollment (acceptability to Veterans), and ease of incorporating CAM therapies into the existing pain management program (feasibility). Perhaps the greatest potential benefits of the CAM therapies presented in this paper lies in the observation that the CES and the SE could potentially be used as a form of self management which could be combined with other psychological interventions such as CBT. Patients have sought out non-conventional treatments when conventional medicine failed, and the recent attention on improving pain in America has placed an even greater emphasis on alternative and complementary modalities in the field of pain medicine.
These case studies may help readers gain a greater understanding of the mind-body role in pain. The following methods are used: biofeedback, medication management, stress management, physical therapy and fitness, soft tissue mobilization, manual medicine, and relaxation techniques.
This center is a National Institutes of Health Center of Excellence for Research in Complementary and Alternative Medicine. Clinics are made available 3 times a week for an hour each on a drop-in-as-needed basis (without the need to make appointment) making it more convenient and accessible to the veterans.
Furthermore, these devices are relatively inexpensive, require minimal training to use and could be self-administered at home by the veterans without having had to come into the VA. Today, the approach most pain management programs embrace is to respect pain, treat it intensively, address the patient's psyche, and to adopt an integrative multidisciplinary approach, incorporating the following: patient education, medications, physical therapies, relaxation techniques, psychosocial counseling, surgical procedures, injection techniques, various alternative medicine modalities. The center also offers single-service therapies on an outpatient basis for people with acute or subacute pain. The CAM choices were cranial electrotherapy stimulation (CES) using the Alpha-Stim (AS) medical device, 3 biofeedback devices: Stress Eraser (SE), EmWave (EM), Respirate (RR) or an audio-visual entrainment device called the David Pal. The cost for acquiring the CAM devices used currently ranges from $145 for SE to $450 for AS, which is affordable for many programs, especially when considered in light of the costs of other medical equipment and devices. Given the observation that veterans require very minimal instruction to use the devices, the CAM modalities could probably be used to provide self treatment at home; thus increasing the accessibility of effective treatment to those residing in rural settings or where the cost of frequent traveling to the VA is an obstacle. For example, a single nerve block injection for low back pain typically costs around $600.00, including facility and professional charges. Finally, unlike other psychological treatments, the CAM modalities appear to have minimal stigma and have more face validity to the veterans. Each veteran could choose from among the 5 CAM modalities and switch to another at any time, however, a large majority (73%) of veterans chose to use AS, followed by SE (11%) down to 4% for the David PAL. Hypothesis 2 stated that adding CAM therapies to the program would improve attendance rates. Approximately 3 months of pretreatment data was compared with 3 months post treatment data.
The vets were asked to complete a self-monitoring form indicating self reported pain ratings and other benefits including sleep, anxiety, depression, and sense of well being before and after the session as well as similar benefits since the last session.
The average CAM group attendance per session was shown to be significantly higher than the average group attendance per session during the 3 months Pre-CAM period (6.20 vs. Hypothesis 3, which states that adding CAM therapies reduces pain intensity ratings and improves quality of life among participants, also received preliminary support by the findings.
Along with acceptability, results indicate that the CAM therapies used in the MEDVAMC program show promising levels of efficacy as an alternative or additional treatment modality in a group setting. For example, the reduction in reported pain intensity among the CAM participants as a group was modest but statistically significant, with a Cohen’s d of .93. In addition to pain reduction, Veterans who participated in the CAM therapies also reported improvements in a number of quality of life measures. Clearly, the Veterans who received the CAM treatments felt that these treatments were beneficial and helpful.

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