(2019) Guideline 136: Management of Chronic Pain - Full guideline. The Scottish Intercollegiate Guidelines Network (SIGN) develops evidence based clinical practice guidelines for the National Health Service (NHS) in Scotland. SIGN guidelines are derived from a systematic review of the scientific literature and are designed as a vehicle for accelerating the translation of new knowledge into action to meet our aim of reducing variations in practice, and improving patient-important outcomes.
This guideline provides recommendations based on current evidence for best practice in the assessment and management, in non-specialist settings, of adults with chronic non-malignant pain, defined for the purposes of this guideline as pain that has been present for more than 12 weeks. Self management, pharmacological, psychological, physical, complementary and dietary therapies are covered.