International Journal of Physical Medicine & Rehabilitation
Open Access

Abstract

Novel Approaches for Chronic Pain

Areerat Suputtitada

Chronic pain describes a syndrome lasts for more than 3 months. characterized by persistent physical pain, disability, emotional disturbance, and social withdrawal symptoms, existing together and influencing one another in what Bandura termed reciprocal determinism. If original pain is not treated completely, the repeat pain signals lead to change in the central nervous system becomes hypersensitivity. This is the novel concept of central sensitization for chronic pain. Desensitization of the segment consists of local injection with anaesthetic agents for blocking posterior branch of the dorsal spinal nerve along the related paraspinal muscles, together with local anaesthetic injection directly to the trigger points, Extracorporeal Shock Wave Therapy (ESWT) and High intensity laser therapy for desensitization of trigger point foci and area of sensitization. All are novel therapies for chronic pain.