Mechanims of chronic pain

Prof. Dr. Thomas Abel, Institut für Sozial- und Präventivmedizin der Universität Bern
Patients' perspective on the course of musculoskeletal pain
The course of musculoskeletal disorders only partly depends on clinical signs and medical diagnosis. Scientific literature acknowledges the influence of psychosocial factors such as lifestyle, social status and gender, yet little is known on how they work exactly or how important they may be. This study will examine the effects of those factors in patients who recovered promptly from acute symptoms compared with those whose symptoms persisted. We will interview a total of 48 patients with musculoskeletal pain that troubles the conduct of their everyday life. Half of them will have experienced prompt recovery, the other half will have persistent symptoms. Both groups will consist of an equal number of men and women. We will interview patients of different ages and social layers. General practitioners will help us recruit the interview candidates by providing names of patients with musculoskeletal disease that are willing to participate. In the interviews, we will ask all patients what helped, or would have helped in the course of recovery and what obstructed the process of healing. The interviews will be tape-recorded and written down in exact words. The texts will then be scientifically analysed. These analyses will lead to descriptions of favourable and risk constellations in patients with musculoskeletal disease.
Results...
Prof. Dr. Dr.Thomas Abel, Institute of Social And Preventive Medicine, University Berne
Psychosocial resources and risk factors with back pain: Development of a screening instrument for the physician
In this project a questionnaire will be developed that in future will help physicians assess the psychosocial resources of patients with back pain. The aim in developing this screening instrument is to improve treatment and to help prevent chronification of back pain.
Results...
Dr. Suzanne Anderson, Institut für Diagnostische, Interventionelle und Pädiatrische Radiologie der Universität Bern
Whiplash: new Aspects and detailed MR Imaging with therapeutic and preventative measures
Symptomatic whiplash associated injury after a motor vehicle accident, with the main symptom of neck pain, may become chronic (for more than 6 months) in10% to 20%, with major consequences to the health of the individual and a major burden to insurance companies and health care resources. There is an annual incidence for the entire Swiss population of 0.44 per 1000. Ten thousand motor vehicle accidents associated with neck pain or potential neck pain are documented annually in Switzerland costing Personal Liability Insurance companies 0.5 billion Swiss Franks annually. With 10,000 injuries per annum, a minimum of 10% progressing, giving 1,000 new Swiss people per annum with chronic disease, costing insurance companies on average, 0.5 million Franks per person.
Results...