Neurosurgical Management of Pain

Chronic pain is a complex and multifaceted condition. This chapter provides an overview of the evidence-based approaches currently used in chronic pain rehabilitation. The Biopsychosocial Model of Pain and the International Classification of Functioning serve as theoretical frameworks. Clinical assessment aims to quantify pain intensity, psychosocial risk factors, disability and physical function via self-report questionnaires and objective tests. Clinical management focuses on increasing physical activity, social involvement and self-management through various evidence-based interventions. Successful chronic pain rehabilitation is characterized less by a reduction of pain intensity than by a reduction in negative pain impact. Rehabilitation is successful if individuals with chronic pain are enabled to be active, autonomous and contributing members of society.