Multimodal, Continuous Care Approaches Are Critical for Chronic Low Back Pain Care

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This post is not about covid-19 and the pandemic it has caused. Yet, it is very difficult to write about anything without mentioning it, because the fact is that it affects us all, in all sorts of ways. This post is about what we have learned from people living with chronic low back pain, as well as other types of chronic pain. So let’s get to it.

We surveyed 437 individuals.  The vast majority has been living with their pain for more than two years. In fact, almost 50% of all respondents have suffered from their pain for more than 10 years.

How is Chronic Pain Treated?

Each respondent has tried an average of 5 different treatments. Clearly, what the current health industry offers is not working. There is no one treatment that will solve everybody’s pain. Your pain is unique to you, and so will your treatment plan with Aivo Health be.

We were curious to know what types of treatments people have tried, see the chart below. Some of these surely provide some pain relief, but unfortunately it is only temporary. Most common answers included trying medications and physical therapy, followed by more invasive alternatives like injections and electrical stimulation.

In other words, a majority of people with chronic pain have lived with this pain for several years, and have tried several types of treatment. Yet the pain persists.

Frustration and Worry

What kind of effect does that have on people? Not surprisingly, not a very positive one. Almost all are, or have been, frustrated with their pain care, and worry that their pain will get worse.

Where does this leave us? It is clear to see that there is a need for a scientifically validated treatment method that actually reduces pain permanently. Chronic pain is very complex. There is no single cure for it, instead what is needed is an understanding of the different processes at play, and a multimodal approach targeting each of these.

A Multimodal Approach

This is why we are developing a continuous care program that reflects the fluctuations of a person’s pain and puts it in relation to other aspects of that person’s life and experiences. Mood is one of these aspects. As we can see, over 50% of respondents struggle with sadness in addition to their pain.

Another one is sleep, and as can be seen below, almost 90% of chronic pain patients have trouble sleeping.

Daily measures of experienced pain level, as well as mood and sleep are at the core of our program. Our data shows that sadness and problems with sleep are very common among pain patients, and our science has proven that the emotional learning circuits in the brain play a big role in chronic pain. A multimodal, individually optimized approach, recognizing that the brain is the central target for chronic pain treatment is what we offer. To learn more about our approach, visit our website!

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