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Musculoskeletal Treatments: Psychological and Integrative Therapies
Cynthia L Kim1, Kana Maeji Carter2
1University of Hawai'i Family Medicine Residency Program and University Family Medicine at Pali Momi Medical Center.
FP Essentials
|March 16, 2026
Summary
Chronic pain involves complex neurobiological and psychological factors. Integrating mental health screening and therapies like cognitive behavior therapy improves patient outcomes and treatment adherence.
Area of Science:
- Neuroscience
- Psychology
- Rehabilitation Medicine
Background:
- Chronic musculoskeletal pain is complex, influenced by psychological factors.
- Mental health significantly impacts pain perception, treatment adherence, and function.
- Neurobiopsychological interactions are key in chronic pain etiology and manifestation.
Purpose of the Study:
- To highlight the neurobiopsychological nature of chronic pain.
- To emphasize the importance of screening for comorbid mental health conditions.
- To discuss effective integrative treatment modalities for musculoskeletal pain.
Main Methods:
- Review of literature on the interplay between chronic pain and mental health.
- Discussion of pharmacologic and integrative therapies.
- Emphasis on physician-patient communication and education regarding pain management.
Main Results:
- Mental health conditions negatively interact with pain and dysfunction.
- Integrative modalities like cognitive behavior therapy and mindfulness are effective.
- Accurate diagnosis guides selection of appropriate treatment modalities.
Conclusions:
- Screening for mental health conditions is crucial for chronic pain patients.
- Integrative therapies, including psychological approaches, are vital for effective management.
- Open communication and patient education enhance decision-making for pain treatment.
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