Chang Min Cheol
Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Daegu, KOR.
Cureus. 2020 Aug 22;12(8):e9934. doi: 10.7759/cureus.9934.
Chronic pain is a common patient complaint in clinical practice. It results in the deterioration of patients' quality of life and loss of productivity. Also, it often brings about psychiatric disorders such as depression and anxiety. Therefore, clinicians should manage chronic pain actively. Various conservative treatments, including pharmacological therapy, procedures, and exercise, are being used to control chronic pain. In this review article, I provide an overview of the commonly used treatments, including medication [anticonvulsants, nonsteroidal anti-inflammatory drugs (NSAIDs), opioids, antidepressants], procedures [injection of steroids and local anesthetics, pulsed radiofrequency (PRF), repetitive transcranial magnetic stimulation (rTMS), prolotherapy], and exercise. A brief overview of these treatments would allow clinicians to have an overall picture of the available tools for managing chronic pain in clinical practice at a glance.
慢性疼痛是临床实践中患者常见的主诉。它会导致患者生活质量下降和生产力丧失。此外，它还常常引发诸如抑郁和焦虑等精神障碍。因此，临床医生应积极管理慢性疼痛。包括药物治疗、手术和运动在内的各种保守治疗方法正被用于控制慢性疼痛。在这篇综述文章中，我概述了常用的治疗方法，包括药物[抗惊厥药、非甾体抗炎药（NSAIDs）、阿片类药物、抗抑郁药]、手术[类固醇和局部麻醉剂注射、脉冲射频（PRF）、重复经颅磁刺激（rTMS）、增殖疗法]和运动。对这些治疗方法的简要概述将使临床医生能够一眼就全面了解临床实践中用于管理慢性疼痛的可用工具。
