An ongoing Japanese study states that inadequate treatment of psychogenic and neuropathic pain leads to a more chronic pain course. According to a study in the Journal of Orthopaedic Science, both pain intensity and duration of pain may be lessened if treatment is tailored to involve psychogenic pain. Patients who participated 2010 and 2011 studies were sent follow-up surveys. Almost two-thirds were still suffering from chronic musculoskeletal pain and almost a fifth had changed treatment 4 or more times because of ineffective treatment.
The chronic course of musculoskeletal pain can be traced to a lack of appropriate treatment of both neuropathic pain and psychogenic pain, and inappropriate awareness or knowledge of chronic musculoskeletal pain by patients. Many patients end up discontinuing treatment, or looking for other doctors.
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