Pain specialists take a multi-treatment approach

The benefit to the patient—and the possible dilemma, when it comes to insurance coverage—is that many pain specialists will take a multi-treatment, team-based approach. Pain patients often need a range of treatments: not just painkillers, but perhaps nerve blocks and trigger-point injections, spinal cord stimulation, transcutaneous electrical nerve stimulation and radiofrequency lesioning—to cite from the menu offered by the New York University Pain Management Center in New York City. Other approaches include cognitive behavioral therapy, acupuncture, even meditation training.

"An integrative approach to pain treatment means using the best evidence-based tool at the best time," says Robert Bonakdar, MD, director of pain management at the Scripps Center for Integrative Medicine in San Diego. "As a physician you should be as comfortable suggesting back surgery as you are biofeedback therapy," explains Dr. Bonakdar.

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More about chronic pain

• How to Describe Your Pain to Doctors
• Get Your Doctor to Take Your Pain Seriously
• How the Mind Controls Pain

The price to a chronic pain patient of a single-track approach to treatment can be high.

"Pain is physical, it's emotional, it's psychological, it's social, it's economic." says Chuck Weber, spokesman for the American Pain Society. And the longer you wait to address your pain, the more complicated it can be for one expert to treat it.

It's worth the effort
Andrea Cooper, 52, a fibromyalgia sufferer from Phoenix, Md., has benefited from a whole-patient approach to her pain. "In my opinion the most skilled pain specialist is someone who sees you as a whole person, and not just a bunch of presenting symptoms. My doctor will ask me what's going on in my life outside my medical situation—kids, marriage, diet, exercise, what's going right and wrong, me as a person, my emotional life. It's all important. You can't separate one thing from other. And as a patient being respected in that way makes me want to be a bigger player in my recovery."

How to find a pain specialist

• The American Board of Pain Medicine lists doctors who are board-certified pain specialists (click on "Diplomates").
• The American Academy of Pain Medicine lists medical doctors who regularly work with pain, and may or may not be board-certified pain specialists.
• The American Academy of Pain Management lists health-care providers who regularly treat pain, though they may not be board-certified pain specialists or medical doctors.