Grosshandler S L, Stratas N E, Toomey T C, Gray W F
Postgrad Med. 1985 Feb 15;77(3):149-51, 154-8. doi: 10.1080/00325481.1985.11698897.
Chronic neck and shoulder pain is a complex, multifactorial problem. Often many months have passed since its onset. During this time the patient may have seen many physicians and tried many medications, some with abuse potential. Most patients are depressed and have lost their ability to cope with the stresses of daily life. The goals of therapy are to enable patients to deal with the problem and to bring them to the point where pain is no longer the dominant factor in their lives. For patients with chronic neck and shoulder pain of myofascial origin, this is accomplished with a multi-disciplinary approach that incorporates use of psychotherapeutic techniques, nonsteroidal antiinflammatory medications, antidepressant drugs, trigger-point injection, and several physical therapy modalities.
慢性颈肩痛是一个复杂的、多因素的问题。通常从发病起已经过去了许多个月。在此期间，患者可能已经看过许多医生并尝试过许多药物，其中一些具有滥用潜力。大多数患者情绪低落，失去了应对日常生活压力的能力。治疗的目标是使患者能够应对该问题，并使他们达到疼痛不再是生活中主导因素的状态。对于肌筋膜源性慢性颈肩痛患者，这通过一种多学科方法来实现，该方法包括使用心理治疗技术、非甾体抗炎药、抗抑郁药、触发点注射以及几种物理治疗方式。
