There is still a significant lack of treatment and rehabilitation faci
lities for chronic pain patients in Germany today. Most of all the tre
atment of low back pain and widespread pain syndromes or panalgesia is
time consuming and complicated. The main problem of anaesthesiologica
l pain clinics is the increase of these complex pain syndromes in the
last years. The definition of chronic pain is a contiuous noxious inpu
t modulated and compounded by the prolonged or recurrent nature of chr
onic state and further complicated by a multitude of economic and psyc
hosocial factors. It is now clear that no one discipline or mode will
suffice. Only a multidisciplinary and intensive approache will prevail
, as discussed in this article. Unfortunately these multidisciplinary
pain units are nearly not existing in Gemany just as little as control
of the effectiveness of pain treatment.