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Physical therapy: a critique

J S Feine1, C G Widmer, J P Lund

  • 1Faculty of Dentistry, McGill University, Montreal, Quebec, Canada.

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics
|January 1, 1997
PubMed
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Physical therapy offers some relief for chronic musculoskeletal pain, but long-lasting benefits are limited. Exercise programs show promise for improving chronic pain and disability.

Area of Science:

  • Orthopedics
  • Pain Management
  • Physical Therapy

Background:

  • Chronic musculoskeletal pain conditions, such as temporomandibular disorders, are frequently treated with physical therapy.
  • Current evidence suggests limited long-lasting efficacy for many common physical therapy modalities.

Purpose of the Study:

  • To evaluate the effectiveness of physical therapy for chronic musculoskeletal pain.
  • To assess the evidence for long-lasting reductions in pain and disability.

Main Methods:

  • Review of existing literature and clinical trials on physical therapy for chronic musculoskeletal pain.
  • Analysis of evidence for short-term symptom management versus long-term outcomes.

Main Results:

Related Experiment Videos

  • Cold therapy shows effectiveness for postsurgical pain and swelling.
  • Most patients experience short-term improvement with various physical therapy methods.
  • Limited evidence supports long-lasting reductions in pain and disability from conventional therapies.

    • Conclusions:

    • While physical therapy can provide temporary relief for chronic musculoskeletal pain, long-term benefits are not well-established.
    • Emerging evidence suggests exercise programs focused on physical fitness may offer significant benefits for chronic pain and disability.