Chronic pain can be cured. If you know in time.

Chronic pain can be cured if you know it.

1 in 5 Thai people have chronic pain problems.

Pain is divided into 2 types.

1. Acute pain
2. Chronic pain is pain that meets the criteria for 1/3 of the following symptoms:

• Pain that has been going on for more than 3 months
• Pain that does not go away or does not improve After treatment
• Pain that lasts longer than expected to heal

Locations of common chronic pain in Thailand

1. Shoulders
2. Upper Back
3. head

Causes of chronic pain

1. Bone and muscle pain includes:
   • Office syndrome, which is caused by misuse or excessive use.
   • Functional degeneration such as cervical bone degeneration, disc degeneration.
   • accident
2. Pain from the nervous system
3. Pain from cancer
4. Pain from an accident
5. Pain after surgery

📔 In this article, only diseases of bone and muscle origin will be discussed.

1. Text Neck Syndrome is a chronic neck pain caused by playing on a mobile phone for a long time. Fix it by having the phone play at eye level.
2. Upper Crossed Syndrome is a condition in which the upper muscles are out of balance. As a result of chronic neck, shoulder, and shoulder pain, which is a consequence of Text Neck Syndrome, the muscles in the chest are tense, but the muscles in the back are weak, resulting in a bent back.
3. Myofascial pain syndrome is caused by muscle stiffness for a long period of time. As a result, there is ischemia and fibrosis in the muscle area, which causes the production of pain substances and results in pain.
   • Fibrosis occurs in the shoulder muscle area. As a result, it can cause pain in the head.
   • Fibrosis is born in the shoulder blades. As a result, it can cause pain in the arm.
   • Diamond fascia (the muscle in the hip area that rests over the nerve) As a result, pain can be caused in the legs.
4. Cervical spondylosis is a degenerative cervical bone in which the neck is cracked in the arm. X-rays are required to help with diagnosis.
5. Spinal stenosis is a condition in which the spine is narrowed, with pain in the back and legs that are bent. Repetitive lifting of heavy objects.
6. Herniated disc is a degenerative disc that causes back pain in the legs. The cause was lifting objects in the wrong position.

Key to reducing pain

1. Find out the cause.
2. Knowledge of the disease itself.
3. Strengthens muscles

cure

1. Knowledge of diseases that are
2. exercise
3. Drug use
4. Physiotherapy tools
5. Accessories

If there is chronic pain, it may require a treatment period of at least 6-12 months.

Treatment of Office Syndrome

1. Changing posture every 30 minutes is important.
2. Adjust the appropriate sitting position, namely the back is straight, leaning against the chair, the shoulders are not raised, and the elbows are perpendicular. Wrists straight, feet flat on the ground, 1 foot distance from the screen.

Prevention of herniated disc requires lifting objects in the correct position. If heavy lifting is necessary, You have to crouch down first and then lift.

Stretching: Do 10 seconds on each side, 3 times on each side, every 1 hour.

1. If your right neck hurts, lift your left arm and pull your neck to the left.
2. If the pain in the hip is in the leg, bend your knees and cross your legs in the number 4.
3. If you have lower back pain, sit down and bend over to grab your ankles.
4. If you have back pain on your side, sit down and gently twist your body to the side.

In addition, an evaluation by a specialist in rehabilitation medicine is also important to treat the pain on the spot.

Because it can detect the cause of the disease and choose a variety of treatment methods on the spot, such as:

• Ultrasound machine relieves muscle tension pain.
• Shockwave machine reduces fascia and increases blood circulation in the muscle area.
• Dry needling acupuncture breaks down fascia in the muscles
• Other Physical Therapy Programs

Edited by:
Dr. Chalida Phubangkerdphon Specialist – Regenerative Medicine.

More details:
Please contact: Physical Therapy Department and Rehabilitation Medicine,
call 02-220-7999 ext. 83070