Background & Aims

Musculoskeletal (MSK) pain is effectively managed through conservative methods, non-pharmacological and pharmacological treatments [1]. Due to the resultant adverse effects and lack of consistent benefit from individual therapies, multimodal integrative treatment approaches, which combine conventional and alternative approaches, are gaining acceptance and inclusion in global treatment guidelines for MSK pain. These drug-free pain relief approaches work on the premise of utilizing the body’s innate ability to self-heal [2]. Despite the availability of evidence-based practices, many healthcare professionals and patients remain unaware of the self-healing concept, limiting the integration of these approaches into MSK pain management. We aim to assess the gaps in understanding and credibility of self-healing concept among patients and identify the contributing factors.

Methods

An international, cross-sectional survey was administered online to patients (N=1805) who experienced MSK pain in past 12 months across the U.S., Australia, Brazil, France, Germany, and China. The questions included but were not limited to, patients’ sociodemographic characteristics, treatments utilized, attitudes, beliefs, and perceptions regarding specific treatment modalities, and changes in attitudes, beliefs, and perceptions regarding self-healing before and after exposure to a self-healing concept. Repeated-measures analysis compared key variables pre- and post-concept exposure, cluster analysis segmented patients together based on pain, and linear regression identified factors that account for these gaps.

Results

Pre-concept exposure, patients were cognizant of the side effects of pain medications and wanted to reduce reliance on them. Alternative treatments such as acupuncture and infra-red therapies inspired less confidence and agreement about their effectiveness. However, post-concept exposure, there was a slight increase in confidence and agreement across all statements and all countries. Time, cost, and effort required for these treatments to be effective were identified as major barriers to adopting them. Cluster analysis categorized patients into four clusters based on their age, gender, pain (course, severity, interference) and their belief in pain resolution or healing. Their perceptions were driven by factors such as a belief in drug-free and holistic methods, the multifactorial nature of pain, drawbacks of self-efficacy of drug-free therapies, limitations of pain medications, doubt in self-healing/devices and minimal side effects of drug-free therapy. However, the factors varied among patient clusters.

Conclusions

Increased exposure to the self-healing concept led patients to express greater interest towards holistic and integrative pain management strategies, suggesting the potential impact of evidence-based information in enhancing their knowledge and confidence. Even before exposure to self-healing concept, patients showed a preference for holistic and integrative approaches to treating pain. Their lack of confidence in lesser-known methods suggests they could benefit from evidence and education demonstrating their effectiveness. This indicates a growing openness to non-pharmacological treatment that may target root causes of pain and promote overall well-being.

References

1. Babatunde OO, et al. PLoS One. 2017;12(6):e0178621.
2. McSwan J, et al. J Pain Res. 2021;14:2943-2958.

Presenting Author

Ali Mobasheri

Poster Authors

Ali Mobasheri

Research Unit of Health Sciences and Technology, Faculty of Medicine, University of Oulu, Finland

Lead Author

Gisele Pickering

Platform of Clinical Investigation, Clermont-Ferrand Cedex, France

Lead Author

Jeffrey Gudin

Department of Anesthesiology, University of Miami, Miller School of Medicine, Miami, FL, USA

Lead Author

Joyce McSwan

GCPHN Persistent Pain Program, PainWISE, Gold Coast, QLD, Australia

Lead Author

Mohamed Amessou

Sanofi, Neuilly, France

Lead Author

Beata Cywi?ska-Durczak

Sanofi, Warsaw, Poland

Lead Author

Sara Chokshi

Sanofi, New Jersey, USA

Lead Author

Neil Betteridge

Neil Betteridge Associates, London, UK

Lead Author

Perola Grinberg Plapler

Division of Physical Medicine, Institute of Orthopedics and Traumatology, São Paulo, Brazil

Lead Author

Topics

  • Education