Chiropractic community open to comment on pain management draft report to U.S. Congress

Chiropractic is referenced as a “best practice” for chronic low-back pain and chronic tension headaches in a recently-released Agency for Healthcare Research & Quality (AHRQ) draft report on pain management.

The AHRQ is seeking comment on the draft report’s proposed recommendations through April 1. The report will be submitted to congress later this year.

The Pain Management Best Practices Inter-Agency Task Force is calling for individualized, patient-centered pain management to improve the lives of millions of individuals who experience acute and chronic pain.

The task force, a federal advisory committee, was established by the Comprehensive Addiction and Recovery Act of 2016 to propose updates to best practices and issue recommendations that address gaps or inconsistencies for managing chronic and acute pain. The task force is composed of 29 members, including health care providers and patients, as well as federal employees. It is overseen by the U.S. Department of Health and Human Services, in cooperation with the U.S. Department of Veterans Affairs and the U.S. Department of Defense.

The draft report contains proposed recommendations in a number of areas, including:

• clinical best practices/guidelines;
• approaches to acute and chronic pain management;
• pain treatments, including medications, restorative therapies, interventional procedures, behavioral health approaches, and complementary and integrative approaches;
• access to pain care, stigma (of patients and providers), education, training, risk assessment and evaluation;
• special populations, including older adults, women, ethnic and racial minorities, military members and veterans; and
• special conditions, such as pregnancy, chronic relapsing pain and sickle cell disease.

“Chronic pain affects an estimated 50 million U.S. adults or 20 percent of the adult population,” said Vanila M. Singh, MD, MACM, task force chair, and chief medical officer of the HHS Office of the Assistant Secretary for Health. “An estimated 19.6 million U.S. adults have experienced high-impact chronic pain, which the CDC defines as pain occurring and interfering with life or work activities most days. This draft report offers a wide range of treatment modalities with a framework to allow for multidisciplinary, individualized patient-centered care. We encourage members of the public to review the draft report and share their comments with us.”

To submit a comment or learn more go to hhs.gov/ash/advisory-committees/pain/reports/index.html.