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Early Intervention to Prevent the Development of Chronic Musculoskeletal Pain Disorders and Disability

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Handbook of Musculoskeletal Pain and Disability Disorders in the Workplace

Abstract

As highlighted in the first chapter of this handbook, musculoskeletal disorders are the single largest category of work-related illnesses in industrialized countries today. Moreover, the recent and highly influential Institute of Medicine Report, “Relieving Pain in America,” has emphasized the urgent need for better methods of pain management because the ever-increasing costs associated with current treatment approaches are unsustainable. The report also highlighted musculoskeletal pain as the most common single type of chronic pain; within this category, chronic low back pain is the most prevalent. Supporting these high prevalence findings, chronic lower back pain (LBP), followed by temporomandibular joint and muscle disorders (TMJMD), ranks as the most frequently occurring musculoskeletal conditions that result in disability and pain (National Institute of Dental and Craniofacial Research, 2008). The critical nature of occupational musculoskeletal disorders was also earlier highlighted by the fact that, in 1998, the National Institutes of Health requested the National Academy of Sciences/National Research Council to convene a panel of experts to carefully evaluate some of the questions raised by the US Congress concerning occupational musculoskeletal disorders (National Research Council, 2001). One important issue was: “Does the research literature reveal any specific guidelines to prevent the development of chronic conditions?”

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Acknowledgement

We would like to acknowledge research assistance of Ms. Catherine Chlebak, graduate student from the University of British Columbia and our funding agencies: National Institutes of Health and WorkSafeBC Research Secretariat (Canada).

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Gatchel, R.J., Kishino, N.D., Schultz, I.Z. (2014). Early Intervention to Prevent the Development of Chronic Musculoskeletal Pain Disorders and Disability. In: Gatchel, R., Schultz, I. (eds) Handbook of Musculoskeletal Pain and Disability Disorders in the Workplace. Handbooks in Health, Work, and Disability. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-0612-3_21

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