chronic musculoskeletal pain

Introduction

Also see musculoskeletal pain

Etiology

• trauma
  • jerking movements
  • accidents, auto accidents
  • falls
  • fractures
  • sprains
  • dislocations
  • blunt muscle trauma
• postural strain
• repetitive movements, overuse
• prolonged immobilization
• poor body mechanics
• insomnia

Clinical manifestations

• variable
• most common
  • pain
  • fatigue
  • sleep disturbance

Laboratory

see specific etiology

Radiology

see specific radiology

Differential diagnosis

somatoform pain disorder

Management

• see musculoskeletal pain
• general
  • RICED: rest, ice, compression, elevation, drugs (analgesics, NSAIDs)
  • muscle strengthening & stretching
  • physical therapy or occupational therapy
  • acupuncture or acupressure
  • relaxation/biofeedback techniques
  • steopathic manipulation
  • chiropractic care
  • therapeutic massage
• treat insomnia

More general terms

• musculoskeletal pain
• chronic pain

Additional terms

• pain [odyn-]
• somatoform pain disorder (psychogenic pain, psychalgia)