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Multidisciplinary pain management program for patients with chronic musculoskeletal pain in Japan: A cohort study

Journal of Pain Research Aug 28, 2019

Takahashi N, et al. - Researchers sought to describe their initial efforts in implementing a multidisciplinary pain management program, which they implemented based on the International Association for the Study of Pain recommendations. Further, they detailed 3- and 6-month follow-up results in this work. In the pain management team, the inclusion of orthopedic surgeons, psychiatrists, nurses, physical therapists, clinical psychologists, pharmacists, and nutritionists was done. Exercise therapy, psychotherapy, and patient education comprised the 3-week inpatient pain management program. Analysis of data of 23 patients, before and immediately after the program, revealed statistically significant improvements in Brief Pain Inventory (BPI), Pain Catastrophizing Scale (PCS), Pain Disability-Assessment Scale (PDAS), Hospital Anxiety and Depression Scale (HADS), Pain Self-Efficacy Questionnaire (PSEQ), EuroQol Five Dimensions, and physical examinations (flexibility, muscle endurance, walking ability, and physical fitness) after the program. At 3 and 6 months following the program implementation, assessment of eight patients showed significant improvement in PCS (rumination and helplessness) scores, PDAS scores, HADS (anxiety) scores, PSEQ scores, flexibility, and muscle endurance. Findings thereby support the efficacy of this inpatient pain management program in enhancing patients’ physical function and ability to cope with chronic musculoskeletal pain, which supports improved quality of life.
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