Murray J. McAllister, PsyD
Murray J. McAllister, PsyD, is a pain psychologist and consults to health systems on improving pain. He is the editor and founder of the Institute for Chronic Pain (ICP). The ICP is an educational and public policy think tank. In its mission is to lead the field in making pain management more empirically supported, the ICP provides academic quality information on chronic pain that is approachable to patients and their families.
In chronic pain management, there are different types of pain clinics. Among others, there are two that seem almost diametrically opposed in their treatment of patients – even for patients with the same chronic pain conditions. One type of pain clinic is the chronic opioid management clinic. These types of clinics start chronic pain patients on opioids or take over the prescribing of the medications from other providers and subsequently maintain patients on chronic opioid management indefinitely. The other type of pain clinic is the interdisciplinary chronic pain rehabilitation program. They admit the same kinds of chronic pain patients and, instead of maintaining them on chronic opioid management, they taper opioids while teaching patients how to successfully self-manage pain.
What is insomnia?
Insomnia is a sleep problem that is marked by having difficulty falling asleep at the beginning of the night or returning to sleep upon awakening in the middle of the night.
Insomnia is common in persons with chronic pain. Upwards of half of all people with chronic low back pain, for instance, report insomnia.1, 2
In its current aims, the Institute for Chronic Pain promotes the theory and practice of chronic painrehabilitation. While far from the most profitable form of treatment, it is the most empirically supported. Moreover, a commitment to our guiding values ensures us to promote what, at the current time, is known to be the most efficacious treatment.
Our mission at the Insittute for Chronic Pain involves providing healthcare providers in the field of chronic pain management with the following:
Chronic low back pain affects about 10% of the population.1 Healthcare providers consider back pain as chronic when it lasts longer than six months and when they believe it will last indefinitely.
What is neck pain?
Neck pain is one of the most common types of pain disorders in the general population. At any given time, 34-43% of the population report having neck pain. 14-22% percent of the general population report having chronic neck pain.1, 2 Healthcare providers consider pain to be chronic when it lasts longer than six months.
What is complex regional pain syndrome?
Complex regional pain syndrome (CRPS) is an uncommon nerve-related pain condition. While it can occur in any body part, it usually occurs in an arm or leg. It has a typical set of signs and symptoms in the affected body part:
What is chronic fatigue syndrome?
Chronic fatigue syndrome (CFS) is a condition of severe exhaustion that lasts for at least six months and which is not due to a known medical or psychological disorder. The exhaustion persists despite obtaining rest. CFS occurs in 0.46 to 1% of the general population and 80% of those with CFS are women.1
Studies differ on the prevalence of chronic pain, but a safe estimate would be between 15-25% of the general population has chronic pain.1, 2
What is temporomandibular joint disorder?
Temporomandibular joint disorder (TMD -- sometimes referred to as TMJ) is a pain disorder that occurs in the joints of the jaws, on either side of the face. Specifically, it occurs in the joints located in front of the ears, where the lower jaw joins the face. The pain is usually described as a tension-related ache, though in more advanced stages it can be a sharp pain.
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