Pain rehabilitation

Pain rehabilitation programs offer nondrug options for managing chronic pain. These may include physical, occupational and psychological therapy.

By Mayo Clinic Staff

Pain rehabilitation programs explore various ways to help control pain and identify factors that contribute to pain. These programs are generally intended for individuals who have experienced a significant decline in daily functioning and quality of life as a result of chronic pain.

In most pain rehabilitation programs, a pain professional, pain psychologist and other specialists work together as an interdisciplinary team.

They incorporate cognitive behavioral therapy techniques to help identify and replace negative thoughts and unhealthy behaviors. This can help you get back to your regular activities and improve your quality of life.

The program might also include physical therapy, occupational therapy, biofeedback, relaxation techniques, stress management and complementary medicine.

Physical therapy

Physical therapy focuses on reducing pain through a regular exercise program that incorporates flexibility, aerobic and strengthening exercises. Physical therapy is primarily based on proper body mechanics — using muscles and joints correctly to limit pain.

Even when you have pain, movement is important. In fact, movement helps speed recovery and might even help prevent acute pain from becoming chronic pain.

Physical therapists can tailor an exercise program to your individual condition and goals. They may also employ nonexercise treatments, such as ultrasound, heat or ice therapy, and massage. Braces, splints and assistive devices also might help.

Occupational therapy

Pain can keep you from taking part in your normal activities, including going to work or having fun with family or friends. Occupational therapy helps provide skills and strategies to help manage pain, so it interferes less with daily life — allowing you to engage in your life even if full pain relief isn't possible.

Occupational therapists may suggest using assistive tools, such as a walking cane or a jar opener, to help compensate for skills that may be impaired by your pain or disability. Sometimes the work or home environment can be changed to make tasks easier.

Changing your mindset

Psychological counselors often can help you view your pain in a different way, which can help you develop better coping skills so that you can feel more in control of your situation.

Tension and stress can exacerbate your pain, so relaxation techniques such as meditation and guided imagery may be useful.

Support groups, either online or in person, provide access to people who are facing similar situations so that you can share concerns and coping strategies. While there is no cure for many forms of chronic pain, you can learn ways to participate more fully in life despite your pain.

Mayo Clinic Minute: Avoid opioids for chronic pain

Vivien Williams: 50 million. That's how many people in the U.S. suffer from chronic pain. Many turn to opioid painkillers for relief.

Mike Hooten, M.D. (Anesthesiology, Mayo Clinic): The evidence is not all that clear about the efficacy of those drugs long-term for chronic pain.

Vivien Williams: Mayo Clinic pain management specialist Dr. Mike Hooten says what is clear about these painkillers is the risk associated with taking them.

Mike Hooten, M.D.: The problems of addiction, but a related problem of accidental overdose deaths.

Vivien Williams: Morphine, oxycodone and hydrocodone are commonly prescribed opioids. Dr. Hooten says they are very effective when used short-term for pain, for example, after a surgery. For long-term use …

Mike Hooten, M.D.: There are a small group of studies that may show some benefit in in certain highly select groups of patients.

Vivien Williams: But, for many cases of chronic pain, Dr. Hooten says non-opioid pain relievers combined with other therapies, such as stress management can help people manage pain and maintain a high quality of life. For the Mayo Clinic News Network, I'm Vivien Williams.

Mayo Clinic Minute: Be careful not to pop pain pills

Vivien Williams: Opioid painkiller addiction can destroy lives. The CDC reports that in 2014, 2 million Americans abused or were dependent on painkillers, such as hydrocodone, oxycodone and methadone.

Mike Hooten, M.D. (Anesthesiology, Mayo Clinic): The most important first step is recognizing you have a problem.

Vivien Williams: Mayo Clinic pain management specialist Dr. Mike Hooten says the second step is to talk to the doctor who prescribed the medication.

Michael Hooten, M.D.: The medication, under medical direction, can be gradually tapered and then at the same time, other pain therapies can be introduced if needed. And, finally, you need to be referred to the appropriate addiction specialist.

Vivien Williams: Dr. Hooten says breaking free from opioids is not easy. But, unlike alcohol withdrawal, which can be life threatening, …

Michael Hooten, M.D.: Acute opioid withdrawal is a non-lethal syndrome. It's very, very uncomfortable, but not necessarily associated with death.

Vivien Williams: Every day 78 people die from an opioid overdose. Experts urge anyone who is addicted to get help. It can save your life. For the Mayo Clinic News network, I'm Vivien Williams.

July 02, 2019

See also

  1. 6 tips for living well with ankylosing spondylitis
  2. A Pain-Free Thumbs Up!
  3. Achilles tendon rupture
  4. Acid reflux and GERD
  5. ACL injury
  6. Acute coronary syndrome
  7. Acute myelogenous leukemia
  8. Airplane ear
  9. Anal cancer
  10. Anal itching
  11. Ankylosing spondylitis
  12. Ankylosing spondylitis: Am I at risk of osteoporosis?
  13. Ankylosing spondylitis: Eat well for bone health
  14. Ankylosing spondylitis: Exercising safely
  15. Ankylosing spondylitis: Reduce your risk of falling
  16. Ankylosing spondylitis: Understand your treatment options
  17. Appendicitis
  18. Arthritis creams
  19. Avascular necrosis (osteonecrosis)
  20. Back pain
  21. Back surgery: When is it a good idea?
  22. Bee sting
  23. Bell's palsy
  24. Bipolar disorder
  25. Bipolar disorder and alcoholism: Are they related?
  26. Bipolar disorder in children: Is it possible?
  27. Bipolar medications and weight gain
  28. Bipolar treatment: I vs. II
  29. Blood Cancers and Disorders
  30. Blood tests for heart disease
  31. Broken collarbone
  32. Broken hand
  33. Broken nose
  34. Broken ribs
  35. Bunions
  36. Burns
  37. Bursitis
  38. Calcium supplements: A risk factor for heart attack?
  39. Can vitamins help prevent a heart attack?
  40. Cardiogenic shock
  41. Cellulitis
  42. Cellulitis: How to prevent recurrent episodes
  43. Cellulitis infection: Is it contagious?
  44. Cervical spondylosis
  45. Chagas disease
  46. Chelation therapy for heart disease: Does it work?
  47. Chest pain
  48. Chronic daily headaches
  49. Chronic pelvic pain
  50. Chronic sinusitis
  51. Cluster headache
  52. Collecting Pennies Through the Pain
  53. Complex regional pain syndrome
  54. Contact dermatitis
  55. Costochondritis
  56. Cough headaches
  57. Cyclothymia (cyclothymic disorder)
  58. Daily aspirin therapy
  59. De Quervain tenosynovitis
  60. Degenerative changes in the spine: Is this arthritis?
  61. Diffuse idiopathic skeletal hyperostosis (DISH)
  62. Diphtheria
  63. Diverticulitis
  64. Ewing sarcoma
  65. Factor V Leiden
  66. Fasting diet: Can it improve my heart health?
  67. Fibromyalgia
  68. Flu Shot Prevents Heart Attack
  69. Flu shots and heart disease
  70. Folliculitis
  71. Football Spinal Cord Injury - The Chris Norton Story
  72. Frostbite
  73. Frostbite: First aid
  74. Gaucher disease
  75. Genital herpes
  76. Genital herpes: Can you get it from a toilet seat?
  77. Geographic tongue
  78. Giant cell arteritis
  79. Glucosamine: Does it protect cartilage in osteoarthritis?
  80. Golf and Wrist Pain
  81. Grass-fed beef
  82. Growth plate fractures
  83. Hammertoe and mallet toe
  84. Headaches and hormones
  85. Headaches: Treatment depends on your diagnosis and symptoms
  86. Healthy Heart for Life!
  87. Heart and Blood Health
  88. Heart attack
  89. Heart attack prevention: Should I avoid secondhand smoke?
  90. Heart attack symptoms
  91. Heart Attack Timing
  92. Heart disease
  93. Heart disease in women: Understand symptoms and risk factors
  94. Heart-healthy diet: 8 steps to prevent heart disease
  95. Heartburn
  96. Heartburn or chest pain?
  97. Hemophilia
  98. Herniated disk FAQs
  99. Hives and angioedema
  100. How do ankylosing spondylitis and pregnancy affect each other?
  101. Impacted wisdom teeth
  102. Ingrown hair
  103. Inguinal hernia
  104. Intervention: Help a loved one overcome addiction
  105. Jellyfish stings
  106. Keratitis
  107. Kidney infection
  108. Knee bursitis
  109. Lead poisoning
  110. Living better with ankylosing spondylitis
  111. Lyme disease
  112. Mayo Clinic Minute: Health Precautions You Need to Know About Pedicures
  113. Mayo Clinic Minute: Patch testing for contact dermatitis
  114. Mayo Clinic Minute: Why the risk of frostbite is greater than you think
  115. Mayo Clinic Minute: Will there be a Lyme disease vaccine for humans?
  116. Menstrual cramps
  117. Mental health: Overcoming the stigma of mental illness
  118. Mental health providers: Tips on finding one
  119. Mental illness
  120. Menus for heart-healthy eating
  121. Mittelschmerz
  122. Mumps
  123. Myelofibrosis
  124. Myelofibrosis
  125. Myofascial release therapy: Can it relieve back pain?
  126. Nail fungus
  127. Neurofibromatosis
  128. What is ulcerative colitis? A Mayo Clinic expert explains
  129. Nighttime headaches: Relief
  130. NSAIDs: Do they increase my risk of heart attack and stroke?
  131. Nuts and your heart: Eating nuts for heart health
  132. Omega-3 in fish
  133. Omega-6 fatty acids
  134. Oral lichen planus
  135. Oral thrush
  136. Osteoarthritis
  137. Osteochondritis dissecans
  138. Osteomalacia
  139. Osteomyelitis
  140. Pain Management
  141. Painful intercourse (dyspareunia)
  142. Patellofemoral pain syndrome
  143. Pelvic inflammatory disease (PID)
  144. Periodontitis
  145. Phantom pain
  146. Pilonidal cyst
  147. Pinched nerve
  148. Plantar fasciitis
  149. Plantar warts
  150. Polymyalgia rheumatica
  151. Polypill: Does it treat heart disease?
  152. Postherpetic neuralgia
  153. Priapism
  154. Ramsay Hunt syndrome
  155. Mayo Clinic Minute: Rattlesnakes, scorpions and other desert dangers
  156. Reactive arthritis
  157. Red wine, antioxidants and resveratrol
  158. Rickets
  159. Ruptured spleen
  160. Sacroiliitis
  161. Sciatica
  162. Scorpion sting
  163. Scrotal masses
  164. Shingles
  165. Shingles and alcohol
  166. Shingles vaccine: Can I transmit the vaccine virus to others?
  167. Shingles vaccine: Should I get it?
  168. Silent heart attack
  169. Sinus headaches
  170. Sleeping positions that reduce back pain
  171. Somatic symptom disorder
  172. Spider bites
  173. Spinal cord injury
  174. Spinal stenosis
  175. Sprains
  176. Heart disease prevention
  177. Stress fractures
  178. Sun allergy
  179. Sun damage
  180. Sunburn
  181. Swimmer's ear
  182. Syringomyelia
  183. Tailbone pain
  184. Tendinitis
  185. Tendinitis pain: Should I apply ice or heat?
  186. Integrative approaches to treating pain
  187. Nutrition and pain
  188. Self-care approaches to treating pain
  189. Thumb arthritis
  190. Thumb Reconstruction
  191. Thunderclap headaches
  192. Transverse myelitis
  193. Trigeminal neuralgia
  194. Ulcerative colitis
  195. Ulcerative colitis flare-ups: 5 tips to manage them
  196. Varicocele
  197. Video: Allergy or irritant: The truth about your rash
  198. Video: Heart and circulatory system
  199. Heartburn and hiatal hernia
  200. Vulvar cancer
  201. West Nile virus
  202. Wisdom teeth removal: When is it necessary?
  203. Wrist pain