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.
Patients ; Pain ; musculoskeletal ; seconds ; Approaches

We conducted a questionnaire survey on the hospital staff to evaluate the effects of the electronic medical recording system 1 year and 4 months after introducing it. It was found that the adoption of this system was rated high as 72% of the staff responded positively. Approximately 43% considered that the introduction of the system resulted in reduced workload, whereas 23% considered the system to be a burden. This finding suggested that the system had brought about an improvement in business efficiency. The adoption of this system made it possible to retrieve specific data from a huge collection of diagnosis and treatment data of patients generated every day by using a warehouse system. We used the electronic system for collating the data regarding the quality of medicine we provide and for improving the accuracy of cost accounting of various diagnosis and treatment departments. The introduction of this system led to an improvement not only in the efficiency of business but also in the quality of medical care and hospital management.