Mindful Yoga Practices in the Management of Chronic Musculoskeletal Pain. Evidence based (original) (raw)

The biopsychosocial approach and considerations involved in chronic pain

Healthy Aging Research, 2019

Chronic pain conditions are currently the most common and economically-burdensome health ailment in the United States. The present article highlights and reviews multiple dimensions associated with chronic pain including; biological, phsycial, psychological and social factors that all need to be assessed and treated simultaneously. This article will review research in several dimensions that are affected by chronic pain which include the economic impact of chronic pain, the current issues with the biomedical approach of treating pain, advantages to the biopsychosocial approach for pain management, and how pain is associated with physical deconditioning, postural control, gait, sleep quality, and psychosocial well-being. Most importantly, this article corroborates with the reviewed research that the biopsychosocial model of pain is the most appropriate model for addressing the aforementioned factors circumscribing such conditions. Finally, this article will underline the development of interdisciplinary interventions, such as functional restoration, that have shown to be both therapeutic and cost-effective in managing chronic pain.

The Biopsychosocial Model of the Assessment, Prevention, and Treatment of Chronic Pain

US Neurology, 2016

The biopsychosocial model has been demonstrated to be the most heuristic approach to chronic pain assessment, prevention, and treatment. Currently, this model also provides the best foundation for tailoring the most comprehensive pain management program for each specific patient. Chronic pain patients have an increased risk for developing deficits in physical functioning, emotional reactivity, and cognition. Interdisciplinary treatment, based on the biopsychosocial model, is vital to address these multifaceted issues facing chronic pain sufferers. These interdisciplinary pain management strategies have progressed with advancements in science and technology in an attempt to provide the best possible outcomes for pain patients. However, while research has made enormous advances, there are still some clinical research gaps to be addressed. This article will begin with a historical overview of pain management in order to demonstrate the evolution in theory from ancient practices to the ...

Comprehensive Approach to Chronic Musculoskeletal Pain Management: Integrating Biopsychosocial Principles in Physiotherapy Practice

Chronic musculoskeletal pain management necessitates transformative, multimodal physiotherapy interventions to enhance patient care. The International Classification of Diseases (ICD-11) distinguishes primary and secondary pain types, influenced by diverse risk factors including demographic, lifestyle, and psychosocial elements. Central sensitization plays a crucial role in chronicity, intertwining neurophysiological and psychosocial factors. Traditional therapies like exercise and education exhibit variable efficacy, prompting a shift towards a biopsychosocial model. Pain neuroscience education (PNE) gains traction, emphasizing pain mechanisms and interactions. Biopsychosocial assessments guide tailored treatments, while diverse pain assessment tools aid clinical evaluation. Behavioural interventions promote sustainable patient behaviour change, and self-management programs offer promise contingent on engagement. Multidisciplinary pain clinics provide comprehensive care, addressing unhelpful beliefs. Education is crucial to align biomedical and biopsychosocial perspectives among healthcare providers. Embracing a biopsychosocial model enhances chronic pain management, emphasizing patient empowerment and collaborative care for improved outcomes.

The biopsychosocial approach to chronic pain: Scientific advances and future directions

Psychological Bulletin, 2007

The prevalence and cost of chronic pain is a major physical and mental health care problem in the United States today. As a result, there has been a recent explosion of research on chronic pain, with significant advances in better understanding its etiology, assessment, and treatment. The purpose of the present article is to provide a review of the most noteworthy developments in the field. The biopsychosocial model is now widely accepted as the most heuristic approach to chronic pain. With this model in mind, a review of the basic neuroscience processes of pain (the bio part of biopsychosocial), as well as the psychosocial factors, is presented. This spans research on how psychological and social factors can interact with brain processes to influence health and illness as well as on the development of new technologies, such as brain imaging, that provide new insights into brain-pain mechanisms.

Physiotherapy and pain

Wall and Melzack's Textbook of Pain, 2006

In recent years, traditional physiotherapy philosophies arid approaches to pain have been'faced witjf the'challenging findings and outcomes of modern pain research As 'al result, the profession has 'begun to embrace wider-reaching and more dynamic models'of pain, and started to change its thinking and practice An example here*is how the recent integration of the biopsychosocial model is starting to impact on the way physiotherapists reason and work In addition/pain research has challenged our interpretation of underlying mechanisms of pain and its origins and causes, as wel) as the efficacy and mechanisms of the interventions used. This chapter reviews the \t of and 'current practice in physiotherapy thinking and management of pain vlt aims to provide two things first, a significant background resource for physiotherapists on the current models and trends that physiotherapy leaders in the field of pain treatment and management are using and following, and second, a resource for medical and research colleagues,"who require a better understanding of where physiotherapy is going'^and how their local physiotherapist might be thinking and reasoning for patients with pain

A Biobehavioral Pain Hygiene Model: Narrative Review and Conceptualization

Topics in Pain Management, 2021

G lobally, there is increasing concern on the financial and societal burden of chronic pain and its current management strategies, necessitating a need for reframing or creating new theoretical frameworks for treatment. Historically, chronic pain was viewed as an isolated symptom caused by damage to the central and/or peripheral nervous system. However, the biopsychosocial model shifted the paradigm of pain management by addressing critical contextual factors to CONTINUING EDUCATION ACTIVITY