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SP0130 Non-pharmaceutical pain control
  1. M Mikkelsson
  1. Rehabilitation, The Rheumatism Foundation Hospital, Heinola, Finland


The lecture will focus on non-pharmaceutical pain control methods in arthritis. In clinics, several pain control methods are available, although there is lack of good randomised controlled trials on different pain control methods. The results of the most interesting studies are summarised.

Acute pain is treated partly with different methods than chronic pain. Pain is always subjective. Thus, subjective report about pain is important when evaluating the effectiveness of a pain control method.

Important pain control methods are those, which patients can use themselves. These are local cold and heat, relaxation, exercise therapy, collars and splints, and some psychological methods (e.g. autohypnosis). The benefit of these methods is that they are easy available. However, they are dependent on patient’s motivation.

Health professionals are needed for other pain control methods. Such methods are psychological methods (e.g. cognitive behavioural therapy and hypnosis), education, several physical therapy modalities, exercise therapies and manual physiotherapy, and acupuncture.

Pain is often a complex symptom. Usually, several treatment methods, including both pharmaceutical and non-pharmaceutical methods, are needed for achieving a good result.

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