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Management of musculoskeletal pain
Spenshult Hospital, Oskarström, Sweden.ORCID-id: 0000-0002-6294-538X
2007 (Engelska)Ingår i: Baillière's Best Practice & Research: Clinical Rheumatology, ISSN 1521-6942, E-ISSN 1532-1770, Vol. 21, nr 1, s. 153-166Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Chronic musculoskeletal pain is a major public health problem affecting about one third of the adult population. Pain is often present without any specific findings in the musculoskeletal system and a strictly biomedical approach could be inadequate. A biopsychosocial model could give a better understanding of symptoms and new targets for management. Identification of risk factors for chronicity is important for prevention and early intervention. The cornerstones in management of chronic non-specific, and often widespread, musculoskeletal pain are non-pharmacological. Physical exercise and cognitive behavioral therapy, ideally in combination, are first line treatments in e.g. chronic low back pain and fibromyalgia. Analgesics are useful when there is a specific nociceptive component, but are often of limited usefulness in non-specific or chronic widespread pain (including fibromyalgia). Antidepressants and anticonvulsants could be of value in some patients but there is a need for more knowledge in order to give general recommendations.

Ort, förlag, år, upplaga, sidor
Oxford: Bailliere Tindall , 2007. Vol. 21, nr 1, s. 153-166
Nyckelord [en]
biopsychosocial, management, musculoskeletal, non-specific, pain
Nationell ämneskategori
Reumatologi och inflammation
Identifikatorer
URN: urn:nbn:se:hh:diva-32312DOI: 10.1016/j.berh.2006.10.001ISI: 000245585800011PubMedID: 17350550Scopus ID: 2-s2.0-33847755557OAI: oai:DiVA.org:hh-32312DiVA, id: diva2:1039965
Tillgänglig från: 2016-10-25 Skapad: 2016-10-25 Senast uppdaterad: 2017-11-29Bibliografiskt granskad

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