By Australian Acute Musculoskeletal Pain Guidelines Group.
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Additional resources for Evidence-based management of acute musculoskeletal pain
While this may reflect accurate diagnosis of more harmful and chronic conditions, given that precise diagnosis of back problems in the absence of fracture or tumour lacks sensitivity, it is likely that the labeling contributed to the psychosocial aspects of pain perception that are associated with chronicity. The study highlights the importance of effective, non-emotive communication with patients with back pain, particularly in occupational settings. Failing to review patients creates the illusion that if they do not return they must have recovered.
More recently, Cox-2 selective NSAIDs have become available. Evidence for their efficacy in a number of rheumatological disorders has been demonstrated. Currently they are not subsidised for acute musculoskeletal pain in Australia. 6 Management plan for acute musculoskeletal pain > Opioid Analgesics Opioid analgesics bind to opioid receptors both within and outside the central nervous system and are used for management of severe pain. All opioid medications have the potential to cause side effects including constipation, urinary retention, sedation, respiratory depression, nausea and vomiting.
CONSENSUS) Main CJ (2002). Concepts of treatment and prevention in musculoskeletal disorders. In: Linton SJ (ed). Pain Research and Clinical Management, Vol 12. Elsevier Science: Amsterdam. Merskey H (1979). Pain terms: a list with definitions and notes on usage recommended by the IASP Subcommittee on Taxonomy. Pain, 6: 249–252. Muscle Relaxants Muscle relaxants have the potential for side effects and show some short-term benefit in studies for low back pain. (Bigos et al. 1994; van Tulder et al.