Gerasimova1, D., Takeva2, I.
1 Saint Anna University Hospital – Sofia
2 Faculty of Medicine, Sofia University „St. Kliment Ohridski“
Pain is a widespread medical problem that has not only individual but also social and economic consequences. It is a challenge to better understand both the etiological and predisposing factors for the appearance of pain, as well as to enrich the approach to its influence and treatment. Research in recent decades on this problem has led to new guidelines, evaluation and treatment. The biopsychosocial approach is particularly applicable in the field of chronic pain, as it is an integrative method that encompasses the multidimensional nature of pain. Wider application in our country is also important because it has been proven therapeutically most effective for managing the most common symptoms and syndromes in patients with chronic back pain. According to recent studies related to the rehabilitation of these patients, the main recommendations for interventional treatment are related to exercises, methods of psychological influence and multimodal approaches. Treating the „whole“ person is much more important than focusing only on the disease.
Key words: chronic pain, multimodal rehabilitation, biopsychosocial model
Address for correspondence:
Clinic of physical and rehabilitation medicine
UMBAL „St. Anna“ – Sofia