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Pregledni rad


Ana Poljičanin
Tonko Vlak

Puni tekst: hrvatski pdf 103 Kb

preuzimanja: 671



Rheumatic diseases are a leading cause of chronic painful conditions, which, if not recognized and
treated in a timely manner, cause inability and consequently reduce the quality of life of individuals. Chronic pain in
rheumatic patients has a multifactorial background. Th erefore, it is oft en accompanied by sleep and mood disturbances,
fatigue, and reduced functional capacity of joints and the spine. Recent studies suggest that rheumatic pain is
not exclusively nociceptive, and that in a large number of patients it may have the characteristics of neuropathic and
central pain. Th us, the current approach to the treatment of rheumatic pain oft en had very modest results. For these
reasons, rheumatic pain can no longer be treated only as a symptom, but should rather be viewed as a separate disease.
Eff ective treatment of rheumatic pain requires a multidisciplinary, biopsychosocial approach taking into account the
cause and nature of the pain, the disease characteristics, lifestyle, and psychological ability of an individual to deal with
painful conditions. Careful selection of diff erent modes of non-pharmacological treatment should be the fi rst step in
the treatment of rheumatic pain with the use of available pharmacological interventions. A small number of systematic
reviews, which included only a small number of causes and treatments for rheumatic pain with questionable quality
of evidence, indicates the need to develop new high-quality randomized controlled trials, in order to enable real
insight into the eff ectiveness of non-pharmacological methods for the treatment of rheumatic pain.

Ključne riječi

Rheumatic diseases – complication, therapy; Chronic pain – etiology, physiopathology, therapy; Pain management – methods; Patient education as topic; Exercise therapy; Electric stimulation therrapy – methods; Musculosceletal manipulation; Balneology; Orthotic devices

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