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Multidisciplinary Chronic Pain
Centre
The consultation of Pain Management Dr is intended for patients
who have persistent pain for more than 3 months, despite a diagnostic
assessment (complementary examinations, expert opinion) well
conducted and whose pain insufficiently responds to treatment.
Chronic pain has repercussions at the psychological level, the
physical condition and the relationships with the environment (social,
family and professional) which, when they are significant, require a
global, bio psychosocial approach and Pain Management Specialist.
In this case, the use of a multidisciplinary pain team can help the
patient to participate actively in improving their quality of life.
Collaboration with treating physicians and specialists
The follow-up within the chronic pain consultation does not mean in
any case a break with the follow-up by the Interventional Pain
Specialist and referring medical specialist. On the contrary, their
collaboration is indispensable. This is why we ask the referring doctor
to send us the relevant information before the first consultation.
Conversely, we will keep it informed by written reports of the
multidisciplinary assessment and the salient elements of evolution.
Multidisciplinary team of chronic pain
The team is made up of Chronic Pain Specialists (anesthetists,
specialists in physical medicine and rehabilitation, neurologist,
psychiatrist) and paramedics (cognitive-behavioural psychologists,
physiotherapists, a nurse, a social worker and a hospital pharmacist
with a clinical orientation). All of these workers have special training
in pain.
Procedure
 Making appointments: By phone.
 During the first appointment, the secretariat will give you two
forms: 1 form that you must complete and 1 form to be
completed by the referring doctor.
 For the first consultation, please have these forms duly
completed, as well as a copy of the latest examinations, copies
of protocols, and a list of your current and previous medications
(dosage, daily frequency, desired and undesirable effects).
 The nurse makes an initial assessment with you. The medical
specialist will determine the appointments later (physiotherapist,
psychologist ...).
 When the overall assessment is completed, a synthesis meeting
of the multidisciplinary team determines the therapeutic
objectives taking into account the patient's motivation to become
actively involved.
 A full report is then sent to your doctor and specialist.
Initial assessment includes:
 A multidimensional analysis of the medical, psychological,
functional and social pain by the Comprehensive Pain
Specialist, depending on each particular situation, one or more
of these dimensions will be deepened by the different
disciplines.
 An analysis of the demand and expectations of the patient.
Subsequent support
Therapeutic projects include the adaptation of analgesic
pharmacological treatment, assistance with pain management
(therapeutic education, management of affective, cognitive and
behavioral aspects, and functional rehabilitation in individuals or
groups), non-pharmacological treatments and technical acts.
Pain specialist
Physicians holding the Doctor for Shoulder Pain designation come
from a variety of disciplines, including general internal medicine,
anaesthesiology, surgery, neurosurgery, physical medicine, oncology,
orthopaedics and rheumatology. Regardless of their specialty, Pain
specialists treat and accompany their patients as part of a global
follow-up and in accordance with research advances. Holders of this
title are specialized in identifying the different mechanisms and
causes of pain. They know the impact of pain on the body and the
psyche, and apply a complete therapeutic concept.