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Rehabilitation medicine approaches to pain management 

Rehabilitation medicine approaches to pain management
Chapter:
Rehabilitation medicine approaches to pain management
Author(s):

Andrea L. Cheville

and Jeffrey R. Basford

DOI:
10.1093/med/9780199656097.003.0910
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date: 07 May 2021

Pain is a frequent but poorly controlled aspect of cancer and other medical conditions which may, in part, stem from the clinician’s lack of understanding of its severity or impact. However, even with the best of care, current approaches are associated with poorly tolerated side effects and frequently fall far short of complete control. Rehabilitation medicine has developed strategies that may reduce pain in general, but are particularly targeted to movement-related pain. These approaches can be grouped into four general categories: (1) modulating nociception, (2) stabilizing and unloading painful musculoskeletal structures, (3) influencing pain perception, and (4) alleviating musculotendinous pain. This chapter reviews each of these categories in detail and offers examples to illustrate their clinical application. It will be noted that the majority are focused on minimizing pain during periods of mobility and the performance of activities of daily living.

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