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Review of posttraumatic stress disorder and chronic pain: The path to integrated care

Review of posttraumatic stress disorder and chronic pain: The path to integrated care. Carri-Ann Gibson, MD, DAAPM. Aim Review: Prevalence of PTSD and chronic pain in veterans. Theoretical models explaining maintenance of both conditions.

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Review of posttraumatic stress disorder and chronic pain: The path to integrated care

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  1. Review of posttraumatic stress disorder and chronic pain: The path to integrated care Carri-Ann Gibson, MD, DAAPM

  2. Aim • Review: • Prevalence of PTSD and chronic pain in veterans. • Theoretical models explaining maintenance of both conditions. • Challenges faced by providers and families who care for these patients. • Relevance • Limited scientific evidence supports specific care and treatment of PTSD and chronic pain.

  3. Methods • Performed searches in multiple online databases of medical literature, using combinations of following key words: • PTSD, chronic pain, posttraumatic stress disorder, therapy, medications, depression, substance abuse, opioids, buprenorphine, headaches, neuropathic pain, back pain, integrated care.

  4. Results • Reviewed integrated care models. • Focused on techniques/strategies to address not only PTSD and chronic pain but other conditions, including substance abuse and depression. • Also focused on headaches, back pain, and neuropathic pain. • Included pharmacological, psychotherapeutic, and complementary treatment recommendations.

  5. Conclusions • Integrated care presents a viable solution and approach. • Challenges clinicians and researchers to develop innovative, scientifically based therapies and treatments to enhance recovery and quality of life for veterans with PTSD and chronic pain.

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