Use of self-management methods have proven highly effective for people with diabetes mellitus, a similarly complex condition, and has become a well-accepted component of diabetes care, covered by insurance. To effectively address the multidimensional effects of chronic pain, patients need self-management training about behaviors, strategies, and activities that may help to control the destructive effects of pain on their quality of life. This approach has the ability to positively address вЂњcentral pain processesвЂќ and amplify its negative effects on activities of daily living, interpersonal relationships, social expectations, work history, and social support/isolation. (Source: 123RF) Turning to Biopsychosocial Approaches to Manage Chronic PainД®mploying a biopsychosocial model to pain management in the primary care setting would introduce PCPs to a valuable conceptual framework that captures biological, somatic, cognitive, and affective dimensions of chronic pain. This belief reflects a common acceptance of relying on opioids and other prescription medications to treat chronic pain conditions that may respond at least as well to multimodal, non-pharmacologic interventions to control pain and reduce the myriad negative effects on daily living.ДЄ review of various non-pharmacological, self-management options for chronic pain patients to apply. 8 This small group was more likely to endorse the need for pain medications to manage pain at increasing doses. In one study, a representative sample of Hispanics who did not have a diagnosis of chronic pain were surveyed from five southwestern states only 12% of respondents said they вЂњknew a lotвЂќ about chronic pain.

As shown in recent studies led by Turner, et al, managing these patients has been made all the more difficult because their families and friends have a limited understanding of chronic pain conditions. The challenge faced by PCPs in managing chronic pain has been hampered further by limited resources, especially among low-income patients who are under- or uninsured. This raises a striking conundrum since primary care practitioners (PCPs) have been found to harbor negative attitudes toward patients with chronic pain, driven by a sense of insufficiency in addressing this patient compliant 4-6 this hesitancy may be explained at least in part by limited training in pain management. 2,3Дespite the complexity of chronic pain, at least half of all patients receive their healthcare from a primary care clinician. Given the adverse effects on their mental, physical, and social wellbeing, they often live with a diminished quality of life, functional limitations, and loss of productivity. 1 Yet, patients with chronic pain face an immense burden. Opioid overuse has led to federal, state, and local initiatives to reduce its serious consequences on health and healthcare costs.

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