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Imagine you are an employer and only half of your employees show up for work each day and then they are only 30 percent effective.
Chronic noncancer pain, which is associated with conditions such as back pain, fibromyalgia, and various types of arthritis, often has a life-altering impact on people’s lives. The authors surveyed the literature on fibromyalgia, low-back pain, neuropathic pain, and osteoarthritis and noted the empirical evidence for treatment approaches.
Surgery and other invasive procedures, such as epidural steroid injection and lumbar fusion, were reviewed as treatments for chronic low back pain.
The researchers found dissatisfaction with back surgeries, noting that many patients worsened over time after lumbar fusion for back pain, for example.
Overall, the state of chronic pain treatments is unsatisfactory, as none of the commonly used approaches adequately eliminate pain or improve function in the majority of chronic pain patients.


Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Now a review of chronic pain treatments shows that despite the many options available, only about half of treated patients respond, and their pain reduction averages only about 30 percent.
When individuals cannot get adequate relief from pain, it can jeopardize their ability to work, have and raise a family, maintain meaningful relationships, and otherwise enjoy life.
Their review covered opioids, NSAIDS (nonsteroidal anti-inflammatory drugs), acetaminophen, antidepressants, anticonvulsants, surgery and other invasive procedures, psychological approaches, and complementary methods.
An alternative to NSAIDs is acetaminophen, which has been associated with serious liver and gastrointestinal side effects. In the United States, back pain is the leading cause of disability in adults younger than 45 years old.


They also observed “high complication rates and repeat procedures are realities of spinal surgery as well.” Psychological approaches may provide “modest benefits,” while the efficacy of complementary medicine practices varies. Among Americans, pain affects more people than diabetes, heart disease, and cancer combined.



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