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The Correlation between Pharmacological and Non-pharmacological Treatment in Managing Chronic Pain

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Musculoskeletal disorders are a common cause of long-term disability in the United Kingdom (Martin et al. , 1998) wherein almost 15% of these patients are being taken care of by the general practitioners in the primary and/or secondary health care service (Roberts et al. , 2002) or in an acute rheumatology service and other clinical units (Smith et al. , 1996), a group of orthopaedic referrals that are professionally handled by trained physiotherapists (Daker-White et al. , 1999), and in the secondary care rheumatology clinics wherein patients are handled by the trained nurses 1997).

Despite the huge number of individuals who are experiencing musculoskeletal pain disorders, not all of them consult for a medical service. (Urwin et al. Musculoskeletal pain exists not only among the elderly patients but also among the mid- or late adolescents patients. As much as 53% of the young adults have experienced musculoskeletal pain at some point in their lives. (Qvindesland & Jonsson, 1999) In the UK alone, roughly four and a half million people whose age is more than 50 years old suffers from a severe knee pain.

2004) Based on a statistical forecasted study, the population of people more than the age of 40 is expected to increase up to 25 million by the end of the year 2020. (Ageing Population Panel, 1999)The duration wherein musculoskeletal pain occurs can either be short- or long-term. Such pain can be felt by anyone particularly in body regions such as the wrist, arm or knee. Based on self-reported cases, between 10 – 30% of individuals who experience musculoskeletal pain occurs on the shoulders which usually last for more than week up to one month; roughly 5 – 10% of these cases are highly associated with elbow pain; and 5 – 15% experience hand-related pains.

(Standard of Care for People with Regional Musculoskeletal Pain, 2007) On the other hand, 15% of them suffer from disabling foot and ankle pain.

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