Principles of treatment of muscleskeletal pain

Abstract

The many dimentions of pain should be evaluated and treated. The treatment of pain is based in the elimination of
its causes, and in the use of pharmacological agents, physical medicine, psychotherapy, anesthetic blocks and functional neurosurgical procedures. The methods should be safe, low cost and efficacious. The pharmachological treatment is based in the use of antiinflammatory drugs, opioids, psychotropics, miorrelaxants, anticonvulsants or noradrenergic and serotoninergic modulators. Physical medicine is necessary in almost all cases of muscle skeletal pain patienrts. Trigger points infiltration is an important adjuvant procedure for physical medicine treatment. The coagulation of the recurrent branches of spinal roots by radiofrequency and of the intervertebral disks are efficient in the treatment of low back pain and the implantation of pumps for spinal infusion of
analgesics is efficient in the treatment of many muscle skeletal pains.