The Rehab Center





Our February 2015 newletter looks at the state of current research on the use and appropriateness of opioids in the treatment of people with chronic pain. It turns out that much of what has become curently accepted treatment is not based on any supporting research evidence; and that in fact a lot of research sugests that long-term opioid use is more harmful than beneficial. We will continue to study this ever-evolving area of research.

Our January 2014 newsletter gives an inside look at the clinical staff of The Rehab Center and what drives them to do provide the best possible care for our patients with chronic pain and the effects of concussions and head injuries.

The Summer newsletter from 2013 reviews new and fascinating studies that examine changes that take place in the brains of people in pain. While it is concerning that deterioration in areas of cortical gray matter appears to take place with chronic pain, it is especially encouraging that these changes are apparently reversible with appropriate treatment, particularly with involvement in cognitive-behavioral therapy, the psychological foundation of our Functional Restoration Program.


Our Spring 2013 newsletter reviews the evidence for interdisciplinary pain treatment programs, such as our Functional Restoration Program, as the most beneficial, humane, and cost-effective approach for addressing the life-changing challenges that face injured workers with chronic pain. We also discuss the components of this approach, and how the pieces all fit together to provide a truly holistic vehicle to resume a more fufilling life.


We reviewed recent developments in the controversy over the use of chronic opioid therapy for patients with chronic pain in our TRC September newsletter on opioids * and in our December newsletter.

We are encouraged that as a result of these discussions there is growing recognition that medication management alone is insufficient and that a more comprehensive approach is required to assist patient with chronic pain to achieve a better quality of life. There are increasing calls for access to multidisciplinary treatment programs such as ours.

*  The original articles cited in September newsletter are the PROP petition (PROP petition) and the APS response.

The concept of nocebo (negative placebo) is an important one. Patients with pain and other medical conditions are often the recipients of a great deal of inaccurate information, which can have damaging effects by creating inappropriately low expectations. See our Winter 2012 newsletter.