Featured Research

from universities, journals, and other organizations

Managing chronic bone, joint pain

Date:
February 19, 2014
Source:
American Academy of Orthopaedic Surgeons
Summary:
Musculoskeletal pain of the bone, joint and muscles is one of the most common reasons for primary care visits in the United States. Chronic pain, or pain that persists beyond an expected period of healing, is estimated to affect 100 million Americans. The majority of chronic pain complaints concern the musculoskeletal system, but they also include headaches and abdominal pain. A new article outlines some ways for people to manage this wide-spread problem.

Musculoskeletal pain of the bone, joint and muscles is one of the most common reasons for primary care visits in the United States. According to a literature review appearing in a recent issue of the Journal of the American Academy of Orthopaedic Surgeons (JAAOS), chronic pain, or pain that persists beyond an expected period of healing, is estimated to affect 100 million Americans.

The majority of chronic pain complaints concern the musculoskeletal system, but they also include headaches and abdominal pain. "As orthopaedic surgeons, we are experts in the management of acute injuries to the extremities and spine. As a specialty, however, we are admittedly less adept in the management of chronic musculoskeletal pain," says lead study author Richard L. Uhl, MD, an orthopaedic surgeon at Albany Medical Center in Albany, N.Y. "Given its prevalence, and the profound economic implications of chronic pain on both healthcare costs and lost productivity, we have a duty to be proficient in its diagnosis and care."

The Bare Facts

  • Low back pain affects up to 80 percent of Americans at some point in life, and consistently ranks among the top five most common reasons for all healthcare visits in the U.S.
  • Chronic knee, hip, and shoulder pain from degenerative processes also is common, as are chronic neuropathic pains from advanced diabetes.

Orthopaedic surgeons and primary care physicians encounter patients who suffer from chronic pain almost daily.

A Surprising Study Finding Non-steroidal anti-inflammatory drugs (NSAIDs) -- easily the most commonly recommended or prescribed medication by orthopaedic surgeons -- are not especially effective in many chronic pain scenarios. "While far from the everyday 'arsenal' of orthopaedic surgeons, antidepressants and anticonvulsants (medications to prevent seizures) can have remarkable effects on many forms of chronic bone and joint pain. There are many readily-accessible, economic, safe and effective treatments for chronic pain," says Dr. Uhl.

Chronic Pain Management Options Ways to help manage chronic pain include:

  • Avoiding reasons foracute pain by using safety precautions including appropriate techniques and, above all, common sense when performing every day activities (e.g., driving), fitness routines (e.g., weight-lifting), or work place routines (e.g., operating heavy machinery).
  • Avoiding behaviors (e.g., tobacco use), appropriately treating mood disorders (e.g., depression or anxiety), or controlling diabetes and other health issues may reduce one's risk of developing chronic pain.
  • Evaluating the source of the pain. Chronic pain from an undiagnosed tumor or infection won't improve until the underlying condition is addressed. "The majority of chronic pain cases are related to slow, degenerative joint processes; nerve impingement, compression, or damage; or simply unknown or unclear sources," says Dr. Uhl.
  • Physicians and patients cooperating as a healthcare team. The authors offer a simplified treatment guide for specific pain scenarios, but recommend that all physicians tailor treatment for each individual patient.

Story Source:

The above story is based on materials provided by American Academy of Orthopaedic Surgeons. Note: Materials may be edited for content and length.


Journal Reference:

  1. R. L. Uhl, T. T. Roberts, D. N. Papaliodis, M. T. Mulligan, A. H. Dubin. Management of Chronic Musculoskeletal Pain. Journal of the American Academy of Orthopaedic Surgeons, 2014; 22 (2): 101 DOI: 10.5435/JAAOS-22-02-101

Cite This Page:

American Academy of Orthopaedic Surgeons. "Managing chronic bone, joint pain." ScienceDaily. ScienceDaily, 19 February 2014. <www.sciencedaily.com/releases/2014/02/140219133339.htm>.
American Academy of Orthopaedic Surgeons. (2014, February 19). Managing chronic bone, joint pain. ScienceDaily. Retrieved October 22, 2014 from www.sciencedaily.com/releases/2014/02/140219133339.htm
American Academy of Orthopaedic Surgeons. "Managing chronic bone, joint pain." ScienceDaily. www.sciencedaily.com/releases/2014/02/140219133339.htm (accessed October 22, 2014).

Share This



More Health & Medicine News

Wednesday, October 22, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

CDC Revamps Ebola Guidelines After Criticism

CDC Revamps Ebola Guidelines After Criticism

Newsy (Oct. 21, 2014) The Centers for Disease Control and Prevention have issued new protocols for healthcare workers interacting with Ebola patients. Video provided by Newsy
Powered by NewsLook.com
WHO: Ebola Vaccine Trials to Start a in January

WHO: Ebola Vaccine Trials to Start a in January

AP (Oct. 21, 2014) Tens of thousands of doses of experimental Ebola vaccines could be available for "real-world" testing in West Africa as soon as January as long as they are deemed safe in soon to start trials, the World Health Organization said Tuesday. (Oct. 21) Video provided by AP
Powered by NewsLook.com
First-Of-Its-Kind Treatment Gives Man Ability To Walk Again

First-Of-Its-Kind Treatment Gives Man Ability To Walk Again

Newsy (Oct. 21, 2014) A medical team has for the first time given a man the ability to walk again after transplanting cells from his brain onto his severed spinal cord. Video provided by Newsy
Powered by NewsLook.com
CDC Issues New Ebola Guidelines for Health Workers

CDC Issues New Ebola Guidelines for Health Workers

Reuters - US Online Video (Oct. 21, 2014) The U.S. Centers for Disease Control and Prevention has set up new guidelines for health workers taking care of patients infected with Ebola. Linda So reports. Video provided by Reuters
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins