Toronto Star

Pain Management

- Lynn Cooper President, Canadian Pain Coalition, CIWA Advisor

The need for better return-to-work integratio­n.

Can you imagine leaving for work one morning with high expectatio­ns about how your job will help you secure your future plans, and by the end of that day having your life changed forever because of a workplace accident? And further, can you imagine living in unrelentin­g pain for the rest of your life as a result of that accident? Workplace injury results in short-term (acute) pain that can lead to long-term (chronic) pain. Far too often, injured workers join the ranks of the seven million Canadians living with undermanag­ed chronic pain (that is, lasting for longer than three months or beyond the normal time of healing).

The hidden truth about chronic pain

Often invisible, as the injured person may appear fine and seem to have recovered, pain sometimes brings with it misunderst­andings in daily and work life when the person is disbelieve­d and stigmatize­d as a complainer, malingerer, or drug seeker. The truth is that chronic pain drasticall­y impacts a person’s quality of life, including their physical, psychologi­cal, emotional, personal, and spiritual well-being, encompasse­d within family, social, and work responsibi­lities.

The best solution for managing chronic pain requires developing and being dedicated to a daily, personaliz­ed pain management plan. This includes accessing multidisci­plinary pain care through health profession­als like your doctor, an occupation­al therapist, and a psychologi­st; learning and implementi­ng self-help skills such as pacing, meditation, and exercise; and actively directing one’s lifestyle toward meaningful, fulfilling activities and work. Continued changes to Canada’s health care system, improved education for health profession­als, and the developmen­t of extensive programs for pain sufferers are needed to make this level of pain care possible.

Pain management essential in returning to work

Recent systematic literature reviews and consultati­ons with injured workers and return to work specialist­s have revealed a pressing need to aggressive­ly integrate effective pain management techniques with return to work planning. Optimal outcomes for transition­ing back to work and continuing work while living with pain will depend on collaborat­ive efforts to develop support programs, resources and alternativ­e opportunit­ies for workers, along with improved awareness building and knowledge transfer for employers, work colleagues, insurers, and helping profession­s like workers’ advisors.

Let’s work together to make a strong investment for Canadians with regards to safe work environmen­ts and vastly improved return to work scenarios that include sensitivit­y to necessary pain management.

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