• Primary care · Sep 2022

    Review

    Management of Chronic Pain in Patients with Substance Use Disorders.

    • Kellene Eagen, Laurel Rabson, and Rebecca Kellum.
    • Department of Family Medicine and Community Health, University of Wisconsin Madison, 1100 Delaplaine Court, Madison, WI 53715, USA. Electronic address: kellene.eagen@fammed.wisc.edu.
    • Prim. Care. 2022 Sep 1; 49 (3): 455-468.

    AbstractUnderstanding the risks for substance use disorders (SUDs) and how to diagnose and treat is essential to the safe and effective treatment of patients with chronic noncancer pain (CNCP). Because of the common neurologic pathways underlying addiction and chronic pain and common comorbid mental health and psychosocial challenges, these conditions should be treated concurrently. Depending on setting and comfort level of the provider, primary care clinicians may have the resources to provide office-based treatment or may consider referral to specialty treatment. An awareness of the stigma facing patients with both CNCP and SUD is important to providing compassionate, patient-centered care.Copyright © 2022 Elsevier Inc. All rights reserved.

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