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Critical Reviews™ in Physical and Rehabilitation Medicine
SJR: 0.121 SNIP: 0.228 CiteScore™: 0.17

ISSN Print: 0896-2960
ISSN Online: 2162-6553

Critical Reviews™ in Physical and Rehabilitation Medicine

DOI: 10.1615/CritRevPhysRehabilMed.v20.i3.30
pages 221-235

Functional Restoration and Chronic Pain Management

Steven D. Feinberg
Stanford University School of Medicine
Rachel M. Feinberg
Bay Area Pain & Wellness Center, Functional Restoration Program, Los Gatos, CA
Robert J. Gatchel
Professor of Psychology and Rehabilitation Sciences, Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, Texas


Chronic pain conditions are poorly understood and difficult to treat often leaving the physician frustrated and the patient severely compromised, physically as well as emotionally. While there are a host of treatments available, traditional approaches, such as surgery, injections, medications, etc., have not been found to produce long-term relief or "cure" for chronic pain patients. Psychosocial distress, physical deconditioning, secondary gains and losses, and medication issues that are often present can complicate the presentation of patients with chronic pain. Therefore, this stage of treatment is much more complex and demanding of health-care professionals. The present article discusses active, interdisciplinary functional restoration approaches which have historically and empirically been considered a critical and necessary component of interdisciplinary chronic pain management programs. Functional restoration emphasizes active treatment approaches emphasizing education, physical activity and emotional stabilization with the goal and ideal of maximum rehabilitation in all aspects of the patient's life.