The most common treatment for musculoskeletal pain is rest and physical therapy. Other solutions may include over-the-counter oral medications, NSAIDs, steroid injections, muscle relaxants and other prescription medications. There is no single treatment that is best for every patient, so treatment is focused on the specific pain.
Although the present research could not demonstrate a specific pain medication that has proved effective in treating any particular pain in the musculoskeletal system, these results do imply that an increased focus and consideration of what is actually happening at the level of the joint needs to be applied in future research in order to improve patient outcome.
Musculoskeletal pain of many sources has many possible signs. These signs often lead to further imaging for diagnosis of the cause of the pain like a torn rotator cuff. It also can result in overusing of an injured part, like overworking from being forced to sit for long periods or performing repetitive and high energy activities like basketball.
The cause of musculoskeletal pain, especially pain in the joints, is complex and multifactorial. The cause is likely to be multifactorial and have multiple factors associated with, but not limited to, the individual and environmental factors. It is important to know that pain is complex and that we need to think beyond the problem at hand and understand how all these factors interact to give rise to the pain. Each individual's pain experience is different and the type of pain a person experiences depends on many different factors.
Approximately 7 million Americans experienced musculoskeletal pain in 2012. Of those, 2.7 million were diagnosed with fibromyalgia. More than 3 times as many women (4.5 million) than men (1.7 million) have suffered musculoskeletal pain. The majority of adults aged 20-29 (65%) report experiencing pain. The data are compatible with a large epidemiology study that used the same methodology but reported on different disorders of musculoskeletal disorders. However, the results reported by this study may not accurately reflect the national and specialty demographics of the U.S.
Musculoskeletal pain is the most common pain complaint. It affects many people and pain is probably underdiagnosed because of the high number of individuals not seeking medical help.
There are two common, mutually exclusive primary hypotheses about the cause of musculoskeletal pain: acute inflammation in muscles or tendons and pathology of tendons and articular cartilage. The data support the use of diagnostic instruments that may improve our understanding of the mechanisms of musculoskeletal pain.
Data from a recent study provides evidence that the treatment of auricular and occipital tenderness may have differential effects on a range of pain-related emotional and psychobiological factors, and these effects may vary with the specific acupuncture points stimulated. Further research is needed, using acupuncture-controlled groups, to better understand the role of each acupuncture point in treating the pain-related factor, and to test the proposed explanation for these results.
Given that only a few of the patients in our series were treated on a battlefield, it seems that both the amount of auriculotemporal block (0.3 mA, 30 min) and number of needles (7, 35 min) were sufficient to trigger the desired effect. More importantly, this technique should be considered a powerful form of first aid for both soldiers and civilians alike.
Results from a recent paper suggests that auricular acupuncture may significantly improve the quality of life for those with MSK pain. Results from a recent paper have implications for the design and application of treatment with auricular acupuncture and highlight the importance of considering pain dimensions in conjunction with clinical outcomes in future research into this type of acupuncture therapy.
[1st and 2nd series of auricular acupuncture treatments provided no or few acute acupuncture effect on the majority of side effects. Longer term clinical trials, with larger sample sizes would be required to address this issue.
We did not find differences between Auricular-only, Auricular-plus-moxibustion, Auricular-plus-TENS or Auricular-plus-TENS-moxibustion for pain alleviation. The auricular needle should not be replaced only with moxibustion or TENS and the patient should be questioned if this is the reason for not applying the usual treatments.