Pain management program une nouvelle référence pour la médecine physique réadaptation

Physical medicine rehabilitation (PMR) is a resource often overlooked in the management of chronic pain patients. It has two sides, one dealing with injuries and the other one which organizes programs focused on the compensation of identified deficits. The pain management programs (PMP) come under this second sides, chronic pain is not addressed as a symptom of an injury, but as a sequelae state inducing disabilities. The pain management programs are rehabilitation programs based on the biopsychosocial approach of the chronic pain. They include four mandatory components: medical treatment; behavioral therapy; physical reconditioning; education program. The biomedical model focuses on healing or at least on the removal of a significant amount of pain. The PMP focus on the complex and dynamic interaction between the physical, physiological, psychological and social factors that perpetuate the experience of pain and disability. Our PMP experience developed in the Pain Center in a Rehabilitation Medicine Centre has enabled us to validate the relevance of these programs when they are conducted in compliance with the recommendations of the British Pain Society and the American Pain Society. On the basis of these recommendations, we offer pain clinicians a synthesis of physical medicine rehabilitation current best practice.