In the first of a four-part video series, Neha Pathak, MD, and Dan Clauw, MD, discuss referrals for patients with chronic pain.
I'm Dr Neha Pathak. Welcome to our four-part interview with Dr Daniel Clauw about the state of the art in the management of patients with chronic pain in a post-opioid world.
Could you share with me your guidance on the best way to optimize a referral to a pain specialist so that both the patient and the primary care provider get the most out of that consult?There are a couple different types of referrals you might make. One would be that you have some uncertainty about the diagnosis that the person might have.
We have a pretty good idea of how to differentiate someone whose pain is coming from the central nervous system rather than the periphery. Their pain is going to be a lot more widespread. If you're not using a body map in clinical practice, I think any time you see a chronic pain patient, give them a body map, just a single point in time to try to see if the pain is widespread or if the pain is in just one or two locations.
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