Chronic pain: supported self-management

What you need to knowSupported self-management is an approach to chronic pain that involves shared decision making, co-production of treatment, and equipping patients with the skills to manage their pain outside of clinical consultationsSupported self-management is not an all-or-nothing approach but can be tailored to the individual patientLonger consultation times may be required initially, but successful supported self-management may reduce consultation rates over timeChronic pain is a common and disabling condition.123 Increasingly, shared decision making and psychological and behavioural self-management are being prioritised in caring for people with chronic pain, with a diminishing number of pharmacological treatments being supported by guidelines.4567 Following a previous article on identifying and diagnosing chronic primary pain,8 this article aims to help clinicians understand what supported self-management involves and shares practical tips on how to work with patients using this approach, considering what the barriers and facilitators to supported self-management might be. What is supported…
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