A Case of Pain of Musculoskeletal system Treated by Psychosomatic Approach
10.2185/jjrm.56.643
- Author:
Hirotaka TANIKAWA
- Publication Type:Journal Article
- MeSH:
Patients;
Pain;
musculoskeletal;
seconds;
Approaches
- From:Journal of the Japanese Association of Rural Medicine
2007;56(4):643-647
- CountryJapan
- Language:Japanese
-
Abstract:
This paper reports a case of musculoskeletal chronic pain and evaluates the serviceability of the approarch of psychosomatic orthopedics to musculoskeletal chronic pain with secondary fibromyalgia due to Sjogren's syndrome. There are many so-called musculoskeletal life-related diseases, i. go, degenerative spondylosis, osteoporosis, osteoarthritis, neck-shoulder-arm syndrome, rheumatoid arthritis, etc. The patient suffers from a functional somatic syndrome that includes fibromyalgia, chronic fatigue syndrome, irritable bowel syndrome and the symptom called ‘painful depression’ that consists of the complex of pain and depressive state. However many of orthopaedic physicians have an inclination to interpret ‘psychogenic’ as ‘mere fancy’ or ‘exaggerated’. The orthopedic physician that does not suspect the psycho-social background of the patient's pain can make a good relationship with the patient, because the physician treats the psychosomatic patient as organic disease.
