Evidence based rehabilitation in chronic pain syndromes

Chronic pain syndromes.

Chronic pain has traditionally been defined as pain lasting more than three to six months. Many conditions in rheumatology can produce chronic pain. These include diseases such as rheumatoid arthritis and osteoarthritis. Pain in these conditions can usually be attributed to specific pathological mechanisms such as inflammatory synovitis or joint destruction. Effective treatment modalities are a...

Chronic Fatigue/Pain Syndromes: An Overview of Current Evidence

Fibromyalgia and Chronic Pain Syndromes

This manuscript, developed by a group of chronic pain researchers and clinicians from around the world, aims to address the state of knowledge about fibromyalgia (FM) and identify ongoing challenges in the field of FM and other chronic pain syndromes that may be characterized by pain centralization/amplification/hypersensitivity. There have been many exciting developments in research studies of...

Chronic Mechanical Spinal Pain Syndromes

a Associate Pro Medicine, James Australia. b Adjunct Asso Tropical Medicine land, Australia. Sources of supp ment Health Depa Submit requests Box 880, Indooroo (e-mail: lggiles@a 0161-4754/$30. Copyright D 20 doi:10.1016/j.jm Objective: To assess the long-term benefits of medication, needle acupuncture, and spinal manipulation as exclusive and standardized treatment regimens in patients with ch...

Mechanisms of pain modulation in chronic syndromes.

Transmission of pain from the periphery to the cortex depends on integration and signal processing within the spinal cord, brainstem, and forebrain. Sensitization, a component of persistent or chronic pain, may develop either through peripheral mechanisms or as a consequence of altered physiology in the spinal cord or forebrain. Several molecular and biophysical mechanisms contribute to the phe...