Zusammenfassung
Nichtmedikamentöse Schmerztherapie wird zur Behandlung chronischer Schmerzen am besten im Rahmen eines multimodalen Konzepts angewandt. Der vorliegende Beitrag stellt im Übelblick einige Therapieformen (Physiotherapie, Massage, manuelle Therapie, Elektrotherapie, Akupunktur und Musik) vor. Dabei zeigt sich, dass die Evidenzlage für eine empirisch nachgewiesene Wirksamkeit all dieser Therapieformen nicht sehr hoch und oft uneinheitlich ist. Dies bedeutet nicht, dass die Therapien nicht angewandt werden sollen, sondern dass sie individuell ausgesucht und an die Bedürfnisse des Patienten angepasst werden müssen.
Abstract
The treatment of chronic pain should be a multimodal combination of pharmacological and nonpharmacological components. This article describes some of the nonpharmacological treatment options and their evidence (e.g. physical therapy, massage, manual therapy, electrotherapy, acupuncture and music therapy). The evidence for an empirically detected effectiveness of all these forms of therapy is not very high and often inconsistent. Nevertheless, this does not mean that these forms of treatment should not be used but that they should be selected on an individual basis to improve the well-being of patients by being adjusted to their needs.
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Drebenstedt, C. Nichtmedikamentöse Schmerztherapie bei chronischem Schmerz. Z Gerontol Geriat 51, 859–864 (2018). https://doi.org/10.1007/s00391-018-01465-4
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DOI: https://doi.org/10.1007/s00391-018-01465-4