Effectiveness of therapies currently employed for persistent low back and leg pain
| Autor: | Don M. Long |
|---|---|
| Rok vydání: | 1995 |
| Předmět: |
medicine.medical_specialty
Modern medicine business.industry General Neuroscience Alternative medicine Leg pain medicine.disease Malaise Anesthesiology and Pain Medicine Argument Physical therapy Medicine Psychogenic disease Neurology (clinical) medicine.symptom business Psychiatry Somatization Low back |
| Zdroj: | Pain Forum. 4:122-125 |
| ISSN: | 1082-3174 |
| DOI: | 10.1016/s1082-3174(11)80012-7 |
| Popis: | I n the Focus article, Drs. Loeser and Sullivan marshal several lines of argument to suggest that disability in the chronic low back pain syndrome is iatrogenic. The concept is intriguing, but not new. Shorter, in his excellent review of psychosomatic illness in the era of modern medicine, developed the thesis that somatization by patients follows a variety of societal and medical fashlons." There is much merit in what Loeser and Sullivan present. However, it is my view that the problem is much more broadly based than the contribution of physicians alone. The medical profession, society in general, and all of our legal and administrative institutions have failed to understand the concept of somatization. I believe this is the key to the problem. The real issue is the diagnosis of psychogenic physical symptoms and their appropriate treatment. Separating organic from psychogenic disease and appropriately determining the causes of both is key to improving the current confused situation." The documented history of psychosomatic symptoms begins early in the 18th century. About this time pseudoseizures, generally called hysteric fits, were recognized. Later in the century much unexplained malaise and pain was ascribed to gout. The erroneous physiology of the uterine theorists and the concept that psychiatric symptoms began in the sympathetic ganglia of the abdomen were used to explain most psychosomatic complaints. Toward the end of the century, William Cullen defined neuroses and firmly settled the nervous system as the source of these complaints, but many of these early physicians continued to invoke spurious causes, such as irritation or inflammation of nerves, to explain symptoms. This fallacious pathophysiology cul |
| Databáze: | OpenAIRE |
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