SciELO - Scientific Electronic Library Online

vol.11 issue4Estimation of the prevalence and severity of postoperative pain and relation with patient satisfactionNMDA glutamatergic receptor antagonists for the management of chronic pain author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google


Revista de la Sociedad Española del Dolor

Print version ISSN 1134-8046


COLLADO, A. et al. Multidisciplinary therapy for patients with chronic pain on sick leave. Rev. Soc. Esp. Dolor [online]. 2004, vol.11, n.4, pp.41-47. ISSN 1134-8046.

Objective: To analyze the effectiveness of a multidisciplinary therapeutic regime in selected patients with disabling chronic pain requiring sick leave and refractory to standard therapies. Materials and methods: One hundred and four patients with disabling chronic pain received multidisciplinary intensive treatment (medical, psychological, physical and occupational therapies) five hours a day, four days a week, over 4 weeks. Revisions were scheduled at discharge and at 6 and 12 months after the end of the treatment. Results: At discharge after the treatment, significant reductions of painful, depressive and anxious symptoms were observed, as well as a significant increase of the functional capacity (Pain (VAS): 7.4±1.6 vs 3.4±2) cm (p<0.0001); Depression (BDI): 17±9 vs 10±8) points (p<0.0001); Anxiety (HARS): 19±8 vs 14±7) points (p<0.0001); Disability (HAQ): 1.7±0.4 vs 0,6±0,5 points) (p<0.0001). The sizes of the effect ranged between a maximum value of 2.5 (VAS pain) and a minimum value of 0.6 (HARS), suggesting in all the cases a wide to moderate clinical change. At that time, 75 (78%) patients have returned to their work activity. During the follow-up, the significant improvements in the output variables were maintained. Of the 62 patients that completed the one-year follow-up, 47 (63%) maintained their active work life. Conclusions: Multidisciplinary therapeutic regimes for disabling non-cancer chronic pain are effective for the relief of pain and suffering in selected patients from our setting, and reverse a high percentage of job disability.

Keywords : Chronic pain; Fibromyalgia; Multidisciplinary therapy; Work rejoin.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License