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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

Pain virtuous cycle. Patients can leave the non-virtuous cycle by learning how to improve their body function and understand chronic pain problems
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Fig7: Pain virtuous cycle. Patients can leave the non-virtuous cycle by learning how to improve their body function and understand chronic pain problems

Mentions: Specifically, this approach involves changing the patient’s thinking and behavior patterns from “I cannot do XXX because I feel pain” to “I can do XXX despite the pain.” This can both improve the ADL and QOL and create conditions under which the patients are not overwhelmed by their experience of pain (Fig. 7).Fig. 7


Burdensome problems of chronic musculoskeletal pain and future prospects.

Ushida T - J Orthop Sci (2015)

Pain virtuous cycle. Patients can leave the non-virtuous cycle by learning how to improve their body function and understand chronic pain problems
© Copyright Policy
Related In: Results  -  Collection

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

Fig7: Pain virtuous cycle. Patients can leave the non-virtuous cycle by learning how to improve their body function and understand chronic pain problems
Mentions: Specifically, this approach involves changing the patient’s thinking and behavior patterns from “I cannot do XXX because I feel pain” to “I can do XXX despite the pain.” This can both improve the ADL and QOL and create conditions under which the patients are not overwhelmed by their experience of pain (Fig. 7).Fig. 7

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