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Rehabilitation Treatments for Chronic Musculoskeletal Pain

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Handbook of Pain and Palliative Care

Abstract

The prevalence of chronic pain in the adult population ranges from 2 to 40%, with a median point prevalence of 15% (Manchikanti et al. 2009; Lihavainen et al. 2010). Amongst chronic pain the prevalence of chronic musculoskeletal pain is high, affecting one in four adults (Walsh et al. 2008). Musculoskeletal pain can arise from a variety of common conditions including osteoarthritis, rheumatoid arthritis, osteoporosis, surgery, low back pain, and bone fracture. It is estimated that among US adults, nearly 27 million have clinical osteoarthritis, 5.0 million have fibromyalgia, 4–10 million have carpal tunnel syndrome, 59 million have had low back pain in the past 3 months, and 30.1 million have had neck pain in the past 3 months (Lawrence et al. 2008). Chronic persistent low back and neck pain is seen in 25–60% of patients, 1-year or longer after the initial episode. A 1-year prevalence study of musculoskeletal pain in the Quebec working population found that for both men and women, back pain was the most frequent musculoskeletal symptom that had disturbed their activities during the past year (Leroux et al. 2005). Low back pain is the most prevalent of musculoskeletal conditions; it affects nearly everyone at some point in time and about 4–33% of the population at any given point (Woolf and Pfleger 2003).

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Sehgal, N., Falco, F., Benjamin, A., Henry, J., Josephson, Y., Manchikanti, L. (2013). Rehabilitation Treatments for Chronic Musculoskeletal Pain. In: Moore, R.J. (eds) Handbook of Pain and Palliative Care. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-1651-8_32

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