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