Chronic Pain Program
A Chronic Pain Program provides outcomes-focused, coordinated, goal-oriented interdisciplinary team services. The program can benefit persons with impairments associated with pain that impacts their activity and participation. Evidence shows that persons with chronic pain conditions who participated in interdisciplinary programs emphasizing the principles of functional restoration, self-management, and cognitive behavioural intervention consistently demonstrate marked and meaningful improvements in pain levels, activity levels, psychological functioning, return to work, healthcare utilization, and reduction in opioid medication use. Frequent monitoring is also important to ensure that problems are identified and treated early, before they escalate. Also, proper management of a healthy lifestyle, along with these other measures can improve quality of life.
Who Can Enroll?
The Chronic Pain Program of Care is appropriate for people who have suffered from pain for more than 6 months as a result of any condition, including:
- Cervical Radiculopathy
- Musculoskeletal Pain
- Degenerative Disc Disease
- Facet Joint Syndrome
- Herniated Discs
- Lumbar Radiculopathy (Sciatica)
- Migraine Headaches
- Peripheral Neuralgia
- Phantom Limb Pain
- Post Laminectomy Syndrome
- Spinal Stenosis
- Whiplash (CAD Syndrome)
The above eligibility criteria exclude persons who have significant red flags such as Neurological deficit (major motor weakness, disturbance of bowel or bladder control), Infection (fever, urinary tract infection (UTI), intravenous (IV) drug use, immune suppression), Fracture, Tumour.
What Can I Expect On My First Visit?
An initial assessment for treatment planning is conducted by a Health Care Provider at the start of the Program of Care. The assessment includes the taking of a complete history, subjective evaluation of the primary complaints related to the injury, a thorough physical examination including range of motion evaluation, orthopaedic testing, muscle testing, and neurological testing. The Health Care Provider will also administer outcome measures to obtain baseline measures of pain and function. These may include, but are not limited to the Numeric Pain Rating Scale (NPRS), the Oswestry Disability Index, the Neck Disability Index (NDI), the Lower Extremity Functional Scale (LEFS), or the Upper Extremity Functional Scale (UEFS).
The Health Care Provider will also assess for possible Yellow flags, which can indicate psychological risk factors that may have an impact on their recovery as a result of behaviour, expectations and recovery from injury. A discussion on achievable goals from the treatment program will be discussed as well as responsibilities of the person served and the Health Care Provider through the duration of the program.
What Is The Duration Of The Program?
The duration of the Chronic Pain Program of Care is determined after the initial assessment and is dependent on the needs of each individual.
When Will I Be Discharged?
To be discharged from the Chronic Pain Program, one or more of the following criteria must be met:
- The person served shows a normal range of motion, strength and function.
- There is no evidence of pain or other subjective complaints.
- The person served has achieved the goals that he or she established with the rehabilitation team.
- The services of skilled therapists are no longer necessary or appropriate.
- The person's progress has slowed or temporarily stopped, and he or she is no longer benefiting from the services of the program.
- The rehabilitation program is "put on hold" due to prosthetic fittings, resolution of medical problems, pending surgical intervention, or the arrival of specialized equipment.
- It is the therapist’s conclusion and/or consensus that other programs or levels of care and treatment are more appropriate for the person served.