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