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Burdensome problems of chronic musculoskeletal pain and future prospects.

Ushida T - J Orthop Sci (2015)

Bottom Line: However, these drugs are commonly associated with problems such as adverse effects, drug dependency and drug abuse, and they must be used with care.Besides, exercise therapy has been found to be effective in treating many different types of chronic pain.The therapeutic strategy is based on a cognitive-behavioral approach, and patients are taught about methods for restoring physical function and coping with pain, mostly with drugs and exercise therapy, so that any pain present does not impair function and the patient can reintegrate into society.

View Article: PubMed Central - PubMed

Affiliation: Multidisciplinary Pain Center, Aichi Medical University, Nagakute, Japan. ushidat-koc@umin.ac.jp.

ABSTRACT
According to a recent survey, about 15 % of the Japanese population suffers from moderate-severe chronic musculoskeletal pain persisting for at least 6 months. Social factors and related psychological factors (including depression) thus appear to greatly affect chronic musculoskeletal pain. This suggests the need for measures that take these factors into account. Treatment for musculoskeletal pain at present is generally based on a biomedical model that has been used for many years in this field, and modern medical imaging technologies have been a high priority to support this model and treatment strategy. Under the concept of the biomedical model, nonsteroidal antiinflammatory drugs, channel blockers and opioid analgesics are generally used as pharmacotherapy to alleviate chronic pain. However, these drugs are commonly associated with problems such as adverse effects, drug dependency and drug abuse, and they must be used with care. Surgery may also be effective in treating certain diseases, but studies have shown that many patients suffer residual chronic pain even after such treatment. Besides, exercise therapy has been found to be effective in treating many different types of chronic pain. Lately, various countries have been launching interdisciplinary pain centers that use a multidisciplinary approach to treat chronic musculoskeletal pain. Treatment in these centers is provided by a team of specialists in anesthesiology, psychiatry and orthopedics as well as the relevant paramedical professionals. The therapeutic strategy is based on a cognitive-behavioral approach, and patients are taught about methods for restoring physical function and coping with pain, mostly with drugs and exercise therapy, so that any pain present does not impair function and the patient can reintegrate into society.

No MeSH data available.


Related in: MedlinePlus

Self-reported pain prevalence according to the Toronto Alexithymia Scale (TAS-20) score levels in a general population from the Hisayama Study health survey. Acute pain: <6 months of pain. Chronic pain: pain that experienced for 6 months or longer. (From Shibata M et al. Plos One 2014;9:e90984)
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Fig4: Self-reported pain prevalence according to the Toronto Alexithymia Scale (TAS-20) score levels in a general population from the Hisayama Study health survey. Acute pain: <6 months of pain. Chronic pain: pain that experienced for 6 months or longer. (From Shibata M et al. Plos One 2014;9:e90984)

Mentions: Besides, psychosocial backgrounds are known to affect the development and maintenance of musculoskeletal pain chronicity. An epidemiological survey called the Hisayama study examined the psychosocial background behind musculoskeletal pain and demonstrated that individuals with chronic low back pain often suffer depression and/or anxiety, with a particularly high prevalence of chronic pain among those with a tendency to alexithymia (i.e., an inability to identify their emotions; Fig. 4) [4]. In a survey we conducted in Owariasahi City, we found a high prevalence of chronic pain among those living alone (Table 1) [5]. Interestingly, people living alone showed a high score on the Kessler Psychological Distress Scale (K6) and a low score on the EQ-5D, suggesting this factor may be influential in the development and maintenance of chronic pain conditions.Fig. 4


Burdensome problems of chronic musculoskeletal pain and future prospects.

Ushida T - J Orthop Sci (2015)

Self-reported pain prevalence according to the Toronto Alexithymia Scale (TAS-20) score levels in a general population from the Hisayama Study health survey. Acute pain: <6 months of pain. Chronic pain: pain that experienced for 6 months or longer. (From Shibata M et al. Plos One 2014;9:e90984)
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4664610&req=5

Fig4: Self-reported pain prevalence according to the Toronto Alexithymia Scale (TAS-20) score levels in a general population from the Hisayama Study health survey. Acute pain: <6 months of pain. Chronic pain: pain that experienced for 6 months or longer. (From Shibata M et al. Plos One 2014;9:e90984)
Mentions: Besides, psychosocial backgrounds are known to affect the development and maintenance of musculoskeletal pain chronicity. An epidemiological survey called the Hisayama study examined the psychosocial background behind musculoskeletal pain and demonstrated that individuals with chronic low back pain often suffer depression and/or anxiety, with a particularly high prevalence of chronic pain among those with a tendency to alexithymia (i.e., an inability to identify their emotions; Fig. 4) [4]. In a survey we conducted in Owariasahi City, we found a high prevalence of chronic pain among those living alone (Table 1) [5]. Interestingly, people living alone showed a high score on the Kessler Psychological Distress Scale (K6) and a low score on the EQ-5D, suggesting this factor may be influential in the development and maintenance of chronic pain conditions.Fig. 4

Bottom Line: However, these drugs are commonly associated with problems such as adverse effects, drug dependency and drug abuse, and they must be used with care.Besides, exercise therapy has been found to be effective in treating many different types of chronic pain.The therapeutic strategy is based on a cognitive-behavioral approach, and patients are taught about methods for restoring physical function and coping with pain, mostly with drugs and exercise therapy, so that any pain present does not impair function and the patient can reintegrate into society.

View Article: PubMed Central - PubMed

Affiliation: Multidisciplinary Pain Center, Aichi Medical University, Nagakute, Japan. ushidat-koc@umin.ac.jp.

ABSTRACT
According to a recent survey, about 15 % of the Japanese population suffers from moderate-severe chronic musculoskeletal pain persisting for at least 6 months. Social factors and related psychological factors (including depression) thus appear to greatly affect chronic musculoskeletal pain. This suggests the need for measures that take these factors into account. Treatment for musculoskeletal pain at present is generally based on a biomedical model that has been used for many years in this field, and modern medical imaging technologies have been a high priority to support this model and treatment strategy. Under the concept of the biomedical model, nonsteroidal antiinflammatory drugs, channel blockers and opioid analgesics are generally used as pharmacotherapy to alleviate chronic pain. However, these drugs are commonly associated with problems such as adverse effects, drug dependency and drug abuse, and they must be used with care. Surgery may also be effective in treating certain diseases, but studies have shown that many patients suffer residual chronic pain even after such treatment. Besides, exercise therapy has been found to be effective in treating many different types of chronic pain. Lately, various countries have been launching interdisciplinary pain centers that use a multidisciplinary approach to treat chronic musculoskeletal pain. Treatment in these centers is provided by a team of specialists in anesthesiology, psychiatry and orthopedics as well as the relevant paramedical professionals. The therapeutic strategy is based on a cognitive-behavioral approach, and patients are taught about methods for restoring physical function and coping with pain, mostly with drugs and exercise therapy, so that any pain present does not impair function and the patient can reintegrate into society.

No MeSH data available.


Related in: MedlinePlus