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

This review explores the prevalence of PTSD and chronic pain in veterans, theoretical models linking both, challenges faced by providers, and the need for integrated care. Findings include techniques to address PTSD, chronic pain, substance abuse, and depression. Pharmacological, psychotherapeutic, and complementary treatments are discussed to enhance veterans' quality of life.

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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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