Musculoskeletal pain affects the bones, muscles, ligaments, tendons and nerves, its commonly but not always it is caused by physical injury, which can be widespread or localised in just one body part. Joint and muscle pain is the probably the number one symptom that prompts people to seek the help of health professionals like osteopaths.
Many seek advice and treatment for
Acute episodes of pain after a sprain, strain or falls, are the usual reasons, but other people present in clinic seeking help for ongoing discomfort for more chronic conditions. Approximately 50% of those with chronic pain ahave musculoskeletal problems, with small proportion developing chronic pain syndromes.The healthcare, economic and personal costs of managing pain are major.
In the UK there are a reported 2500
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Of course, with an acute injury like a muscle sprain, anti-inflammatory painkillers can be an effective first line treatment But in many cases, others interventions are required, research shows that an entirely different approach is often more beneficial in cases of chronic pain (pain lasting more than 12 weeks), one that tackles physical, psychological and social factors. Ideally, a multidisciplinary approach which might consist of health professionals such as manual therapy or physical therapy experts, osteopaths, physiotherapists alongside doctors who specialise in pain management and sometimes consulting psychologists may be useful.
Appropiare through assessment is crucial to avoid chroncity but this can take some time due to the constraints of the NHS, once diagnosed prompt referral to other specialists for appropriate care or further investigation.
References
Phillips, C. (2009). The Cost and Burden of Chronic Pain. British Journal of Pain, 3(1),
...health of a patient and a follow up check at the GP’s may be required.
Management of pain is very important when it comes to palliative care patients, considering that 55-95% of this patient population requires analgesia for pain relief (Creedon & O’Regan, 2010, p. [ 257]). But what is considered pain management? And why does pain continue to be inadequately treated? According to the article on chronic non-cancer pain in older people: evidence for prescribing, in the past few decades significant improvements have been made to the management of pain in palliative care. However, it is universally acknowledged that pain on a global scale remains inadequately treated because of cultural, attitudinal, educational, legal, and systemic reasons (Creedon & O’Regan, 2010, p. ...
A. Chronic pain signifies a developing public health issue of huge magnitudes, mainly in view of aging populations in developed countries (Russo).
" Chronic Pain (CP) statistics astounding according to The Institute of medicine approximately 100 million adults suffer from chronic pain which is more than heart disease, diabetes, and cancer combined."(IOM Relieving Pain in America 2011, p. 1)
Assessing and managing pain is an inevitable part of nursing and the care of patients. Incomplete relief of pain remains prevalent despite years of research due to barriers such as lack of kn...
...atment option your doctor suggests, careful monitoring and follow-up visits are required to successfully combat the symptoms.
Fibromyalgia is an extremely disabling condition associated with chronic widespread musculoskeletal pain and reduced pain thresholds (Wolfe et al., 2010)(Kelley et al., 2011). Observational studies have shown that over a 12 month period 25% of men and women surveyed over the age of 65 will consult a primary care physician for musculoskeletal pain (Jordan et al., 2010). Overall, between 46% and 80% of people over the age of 65 report experiencing pain on a daily basis and 15% of women and 10% of men over 50 report widespread musculoskeletal pain (Soldato et al., 2007; Thomas et al., 2004). The Centers for Disease Control and Prevention estimated in xxxx that fibromyalgia patients generated $6000 per patient per year in healthcare costs where as another recent study of administrative claims found that fibromyalgia healthcare costs may exceed $18,000 per patient annually (Wolfe et al., 1997). In a population study of ten chronic diseases, fibromyalgia was highest ranked for healthcare not received in the previous year and in long-term disability, pain, and poor self-rated health by survey participants (Kasman and Badley, 2004).
While not many acute injuries, or injuries that are associated with a traumatic event can be prevented, nearly all overuse injuries can be! Nevertheless, sports medicine physicians receive training to treat any kind of injury; acute, chronic, overuses or even psychogenic pain. Sports medicine dates back to Susruta of India who was the first “recorded” physician to prescribe moderate daily exercise around 600 B.C. (Tipton). Since then, professionals have redesigned and renovated the techniques and equipment used in this field. Sports medicine physicians go through years of education and training in order to effectively treat and interact with patients, as well as thrive in any workplace they are needed.
Currently it is commonly accepted among industries that musculoskeletal disorders (MSDs) affect employees regardless of the occupation as well as cost that these injuries impose on the employer and the populace as a whole. Nevertheless, in the manufacturing business it is mostly common for individuals to perform manual materials handling (MMH) task that are believed to factor in on some of the most pricy job-related injuries to date, such as those attributed to the back. And although through the advancement of technology with the aid of robotics and the use of other equipment the need for MMH has been decreased, but certain jobs still require the need for humans to perform those kinds of tasks and this is more apparent in smaller manufacturing businesses or warehouses that cannot afford these advancements. With MSDs contributing to a large percentage of MMH injuries, with over 387,000 or 33 percent of all work related injury cases in 2011, far exceeding all other work related injuries (Occupational Safety & Health Administration, 2011). Maybe this is due to the well-known fact that MSDs are connected with jobs and tasks comprising of repetitive motions and exertion, together with such identifiable risk factors as awkward postures, use of force, and lack of recuperation before restarting the same task. Nonetheless, the best means of prevention is through the improvement of working conditions and the implementation of an ergonomics program. However, one of the principal challenges that face managers and supervisors today is the systematic approach to conduct an ergonomics evaluation and to use ergonomics consistently through a proactive approach with the aim at reducing MSDs either by engineering or administrative imp...
Rationale. Pain is one of the most common reasons why individuals seek medical attention in a health care setting. Clarifying the concept of pain will help health care providers provide the best effective care of pain and pain management.
The concept that pain means injury or damage is deeply embedded in the American consciousness. “I have never seen a patient with pain in the neck, shoulders, back or buttocks who didn’t believe that the pain was due to an injury, a “hurt” brought on by some physical activity.” Says Dr. John E. Sarno, M.D. “The pain started after I lifted my little girl” or “Ten years ago I was involved in a hit- from- behind auto accident and I have had recurrent back pain ever since.” Of course, if the pain starts while one is engaged in a physical activity it’s difficult not to attribute the pain to the activity. “But this pervasive concept of the vulnerability of the back, of ease of injury, is nothing less than a medical catastrophe for the American public, which now has an army of semidisabled men and women whose lives are significantly restricted by the fear of doing further damage or bringing on the dreaded pain again” (qtd. in “Healing Back Pain”). With good intentions, this idea has been encouraged by the medical profession and other healers for years. It has been assumed that neck, shoulder, back and buttock pain is due to injury or disease of the spine and associated structures and ligaments surrounding these structures- without scientific validation of these diagnostic concepts. “On the other hand,” States Dr. Sarno, “I have had gratifying success in the treatment of these disorders for seventeen years based on a very different diagnosis. It has been my observation that the majority of these pain syndromes are the result of a condition in the muscles, nerves, tendons and ligaments brought on by tension.”
Pain, which is defined in its widest sense as an emotion which is the opposite of pleasure (White, 2004, p.455), is one of the major symptoms of cancer, affecting a majority of sufferers at some point during their condition (De Conno & Caraceni, 1996, p.8). The World Health Organization (WHO, 2009, online) suggests that relief from pain may be achieved in more than 90 percent of patients; however, Fitzgibbon and Loeser (2010, p.190) stress that pain may often be undertreated, even in the UK. Foley and Abernathy (2008, p.2759) identify numerous barriers to effective pain management, among which are professional barriers such as inadequate knowledge of pain mechanisms, assessment and management strategies.
A cross- sectional study was done to assess musculoskeletal pain disorders among 35 school and 35 university female teachers in the age group of 25- 45 years in Delhi and NCR region.
The major concepts deduced from the hypothesis fall under three categories: (1) multimodal intervention, (2) attentive care, and (3) patient participation. Multimodal intervention includes the concepts of potent pain medication, pharmacological adjuvants, and non-pharmacological adjuvants. Attentive care relates to the assessment of pain and side effects and intervention along with reassessments. Patient participation includes goal setting and patient education. The resulting outcome of these three categories working together is the balance between analgesia and side effects.
Pain is defined as an unpleasant sensory and emotional experience that inevitably everyone in society will experience at some stage throughout his or her lifespan, and every individuals experience will differ from that of another’s (Mac Lellan, 2006). This maybe due to any number of factors that can affect an individual, such as age, gender, emotional state, culture, or previous encounters with pain (Funnell, Koutoukidis, & Lawrence, 2005). In this reflective assignment I will discuss not only how some of those contributing factors affected a pain episode that I recently experienced. But also how an inability by medical staff to carry out a simple pain assessment and to prescribe and administer adequate pain management impacted on my quality of life. To adequately do this I first need to explain what causes pain, state what the medical profession defines as pain, and describe how untreated pain can affect an individual.