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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

Principle of the interdisciplinary pain center system. An interdisciplinary pain center is a single unit-based system for carrying out multidisciplinary pain management. The center has a broad range of clinical staff, patient care services, pain conditions treated, and educational and research activities
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Fig8: Principle of the interdisciplinary pain center system. An interdisciplinary pain center is a single unit-based system for carrying out multidisciplinary pain management. The center has a broad range of clinical staff, patient care services, pain conditions treated, and educational and research activities

Mentions: In addition to specialists in orthopedics, anesthesiology and other fields who treat functional disorders, it is important to use a multidisciplinary approach, including psychiatrists, clinical psychologists and others specializing in psychiatry/psychology to set patients along a more positive path (Fig. 8). The role of the co-medical team together with the doctor is important. For example, a nurse, with a point of view that is different from the doctor, carries out the psychological support of patients and their families. In addition, physical therapists work toward the functional improvement of the body. Clinical psychologists analyze the background of the patient and perform psychotherapeutic interventions.Fig. 8


Burdensome problems of chronic musculoskeletal pain and future prospects.

Ushida T - J Orthop Sci (2015)

Principle of the interdisciplinary pain center system. An interdisciplinary pain center is a single unit-based system for carrying out multidisciplinary pain management. The center has a broad range of clinical staff, patient care services, pain conditions treated, and educational and research activities
© Copyright Policy
Related In: Results  -  Collection

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

Fig8: Principle of the interdisciplinary pain center system. An interdisciplinary pain center is a single unit-based system for carrying out multidisciplinary pain management. The center has a broad range of clinical staff, patient care services, pain conditions treated, and educational and research activities
Mentions: In addition to specialists in orthopedics, anesthesiology and other fields who treat functional disorders, it is important to use a multidisciplinary approach, including psychiatrists, clinical psychologists and others specializing in psychiatry/psychology to set patients along a more positive path (Fig. 8). The role of the co-medical team together with the doctor is important. For example, a nurse, with a point of view that is different from the doctor, carries out the psychological support of patients and their families. In addition, physical therapists work toward the functional improvement of the body. Clinical psychologists analyze the background of the patient and perform psychotherapeutic interventions.Fig. 8

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