Psychosocial Management of Chronic Low Back Pain(<Special Issue>Psychosomatic Medicine for Chronic Pain)

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  • Kasahara Satoshi
    Department of Neuropsychiatry, Fukushima Medical University School of Medicine

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  • 慢性腰痛の心身医学的マネジメント(<特集>慢性疼痛の心身医学)
  • 慢性腰痛の心身医学的マネジメント
  • マンセイ ヨウツウ ノ シンシン イガクテキ マネジメント

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Abstract

Low back pain is the most commonly reported symptom in Japan, and in particular, chronic low back pain is often complicated by psychiatric problems. Fukushima Medical University offers liaison treatment of orthopedics and psychiatry for chronic low back pain. In order to improve the outcomes of low back pain treatment, it is necessary to conceptualize low back pain as a "biological, psychological, and social pain syndrome". Patients with persistent and refractory chronic low back pain are often revealed to be somatoform disorders. No drugs have been shown to be effective for the various types of somatoform disorders, which include chronic low back pain. In the treatment of chronic low back pain, it should be particularly noted that personality disorders are often treatment-resistant factors. Cooperation between orthopedics and psychiatry is important in the treatment of chronic low back pain.

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