Pain management specialists Health professionals in many fields have completed specialized training in pain management. Currently, there is no single field of medicine or health care that represents the preferred approach to pain management. Indeed, the premise of pain management is that a highly multidisciplinary approach is essential. Pain management specialists are most commonly found in the following disciplines: Anesthesiology Physiatry (also called Physical medicine and rehabilitation) Interventional radiology Neurology Physical therapy Osteopathy Primary care medicine Specialists in psychology, psychiatry, behavioral science and other areas may also play an important role in a comprehensive pain management program. Several respected professional societies offer certifications, training and other credentialing in pain management or pain medicine. Some of these organizations include: American Academy of Pain Management, American Academy of Pain Medicine, American Board of Pain Medicine, and the American Pain Society. Most pain management specialists are seen by referral from a physician. If you feel it is appropriate, consult your physician for information about a pain management program. Pain management specialists are most often called upon to treat severe back pain, challenging chronic pain, and patients with failed back surgery syndrome. Patients should keep in mind that there are many varieties of pain management programs to explore. This process can be confusing or frustrating at times, but the important point is to work proactively with your health professionals and not to give up if one initially encounters an unsatisfactory result. While this can be a significant challenge for patients enduring pain, once you find an approach that you are comfortable with your condition should improve. By: John Revord, MD October 24, 2001