New avenues for the prevention of chronic musculoskeletal pain and disability (Pain research & clinical management vol. 12)

The aim of this book is to provide readers with an overview of the current thought and evidence about the prevention of chronic musculoskeletal pain. Starting with the introduction, readers are shown the dire need for prevention and the peculiarities of preventing a problem that is typically recurrent. In the second section, risk factors and mechanisms are examined that provide a unique and in-depth understanding of how disability develops and thereby how it might be prevented. Chapters are dedicated to major risk factors such as stress, ergonomics and fear-avoidance as well as to the overriding question of why acute pain sometimes develops into a chronic problem. The major challenge facing the field today is developing effective preventive interventions. Section three provides detailed information on a number of approaches to the prevention of debilitating chronic pain. The section starts with the early identification of patients who, based on the information in section two on risk factors, will likely develop persistent pain and disability. Clinical and workplace oriented prevention strategies are highlighted. Readers are introduced to the problems and solutions in developing effective preventive programs. Several successful methods are described in terms of program delivery and scientific value. This book will provide the state of the art on how to understand and effectively deal with this costly and devastating problem.

Dedication. List of Contributors. Chapter. New research provides new avenues for prevention: an overview of the book (S.J. Linton). Section. The Need for Prevention. Chapter. The prevalence of regional and widespread musculoskeletal pain symptoms (J. McBeth, G.J. Macfarlane). Chapter. Economic aspects of chronic musculoskeletal pain (M.E.J.B. Goossens). Chapter. Reducing disability in injured workers: the importance of collaborative management (M.K. Nicholas). Chapter. Concepts of treatment and prevention in musculoskeletal disorders (C.J. Main). Section. Risk Factors and Mechanisms. Chapter. Why does chronic pain develop? A behavioral approach (S.J. Linton). Chapter. Pain-related fear and its consequences in chronic musculoskeletal pain (J.W.S. Vlaeyen, S.J. Linton). Chapter. Depression and mood (Z. Clyde, A.C.deC. Williams). Chapter. Cognitive appraisal (T. Pincus, S. Morley). Chapter. On occupational ergonomic risk factors for musculoskeletal disorders and related intervention practice (R.H. Westgaard, J. Winkel). Chapter. Stress in the development of musculoskeletal pain (U. Lundberg, B. Melin). Section. Early Identification and Preventive Interventions. Chapter. Employing risk factors for screening of chronic pain disability (C.B. Pulliam, R.J. Gatchel). Chapter. Early assessment of psychological factors: the Örebro Screening Questionnaire for Pain (K. Boersma, S.J. Linton). Chapter. Secondary prevention in the workplace (W.S. Shaw, M. Feuerstein, G.D. Huang). Chapter. The stepped care approach to chronic back pain (B.H.K. Balderson, M. Von Korff). Chapter. Educational and informational approaches (A.K. Burton, G. Waddell). Chapter. Early rehabilitation: the Ontario experience (S.J. Sinclair, S. Hogg-Johnson). Chapter. Cognitive behavioral therapy in the prevention of musculoskeletal pain: description of a program (S.J. Linton). Chapter. Multidimensional prevention (G. Bergström, 1.B. Jensen). Chapter. Problem-solving therapy and behavioral graded activity in the prevention of chronic pain disability (J.H.C. Van den Hout, J.W.S. Vlaeyen). Subject Index.

Primary care and occupational health-care physicians, physical therapists, psychologists, occupational therapists and people working in the pain field will find this book of considerable interest.