Total Number and Severity of Comorbidities Do Not Differ Based on Anatomical Region of Musculoskeletal Pain

Coronado, Rogelio A.; Alappattu, Meryl; Hart, Dennis L.; George, Steven Z.

doi:10.2519/jospt.2011.3686

Cited by 7 publications

(3 citation statements)

References 63 publications

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“…Several studies have shown that other co-morbidities (like obesity, headache) also has an impact on individual's ability to recover. [44][45][46] Contrary to our findings, previous studies have not found a significant association of psychosocial factors and shoulder complaints. 7 However, in studies including patients with complaints of the arm, neck and shoulder psychosocial factors appear to have a predictive effect on patient outcome.…”

Section: Discussioncontrasting

confidence: 99%

Development of a Prognostic Model for Patients With Shoulder Complaints in Physical Therapist Practice

Karel¹,

Verhagen²,

Graaf³

et al. 2016

Physical Therapy

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Section: Discussioncontrasting

confidence: 99%

Development of a Prognostic Model for Patients With Shoulder Complaints in Physical Therapist Practice

Karel¹,

Verhagen²,

Graaf³

et al. 2016

Physical Therapy

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“…In addition, a complex relationship exists between menopause and chronic pain due to the fact that menopause occurs with aging, and is associated with increased rates of insomnia and depression [27]. A major consideration with chronic pain is to determine the number of co-morbidities a patient may demonstrate, such as headache and obesity [28].…”

Section: Introductionmentioning

confidence: 99%

Mechanisms of chronic pain – key considerations for appropriate physical therapy management

Courtney

Fernández‐de‐las‐Peñas

Bond

2017

Journal of Manual & Manipulative Therapy

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In last decades, knowledge of nociceptive pain mechanisms has expanded rapidly. The use of quantitative sensory testing has provided evidence that peripheral and central sensitization mechanisms play a relevant role in localized and widespread chronic pain syndromes. In fact, almost any patient suffering with a chronic pain condition will demonstrate impairments in the central nervous system. In addition, it is accepted that pain is associated with different types of trigger factors including social, physiological, and psychological. This rational has provoked a change in the understanding of potential mechanisms of manual therapies, changing from a biomechanical/medical viewpoint, to a neurophysiological/nociceptive viewpoint. Therefore, interventions for patients with chronic pain should be applied based on current knowledge of nociceptive mechanisms since determining potential drivers of the sensitization process is critical for effective management. The current paper reviews mechanisms of chronic pain from a clinical and neurophysiological point of view and summarizes key messages for clinicians for proper management of individuals with chronic pain.

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“…Diabetes is one of the more common metabolic disorders seen as a comorbidity in patients presenting to physical therapy [49,50]. Of particular concern to the clinician performing dry needling are the pathological neural and vascular complications of long-term or poorly controlled diabetes.…”

Section: Metabolic and Endocrine Disordersmentioning

confidence: 99%

New perspectives on dry needling following a medical model: are we screening our patients sufficiently?

Kearns

Fernández‐de‐las‐Peñas

Brismée

et al. 2019

Journal of Manual & Manipulative Therapy

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Myofascial trigger points are not an isolated neuromusculoskeletal phenomenon and have been implicated in systemic, visceral, and metabolic pathology, as a side effect of some medications and in the presence of psychological risk factors. This complexity can complicate adequate screening of patients prior to choosing dry needling as a treatment intervention. Regardless of whether clinicians practice in a direct access setting, they should be cognizant of medical conditions, comorbidities, and risk factors that will influence clinical decisions for dry-needling appropriateness, technique chosen, and potential adverse responses to treatment. Of primary concern are conditions that can either manifest with myalgia and/or myopathy or masquerade as a more common musculoskeletal condition. This clinical commentary reviews system-specific considerations and other common disorders that should be screened for and discusses not only whether dry needling is appropriate but comments on technique and dosage considerations when initiating dry needling.

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Total Number and Severity of Comorbidities Do Not Differ Based on Anatomical Region of Musculoskeletal Pain

Cited by 7 publications

References 63 publications

Development of a Prognostic Model for Patients With Shoulder Complaints in Physical Therapist Practice

Development of a Prognostic Model for Patients With Shoulder Complaints in Physical Therapist Practice

Mechanisms of chronic pain – key considerations for appropriate physical therapy management

New perspectives on dry needling following a medical model: are we screening our patients sufficiently?

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