Many people not treated for pain
Key points
- At least half of patients in Europe with muscle or joint pain are not receiving treatment, research suggests.
- Painkillers such as aspirin, known as NSAIDS, are the drugs most commonly prescribed to combat chronic pain.
- They argue that the discrepancy in the views of doctors and patients may be due, in part, to the fact that family doctors generally under-estimate the impact or severity of patients' pain and consequent disability and psychological distress.
- Researchers surveyed almost 6,000 people with musculoskeletal pain and almost 1,500 doctors in eight European countries.
At least half of patients in Europe with muscle or joint pain are not receiving treatment, research suggests.
Researchers surveyed almost 6,000 people with musculoskeletal pain and almost 1,500 doctors in eight European countries.
Their results suggest as many as 50m Europeans endure chronic pain without getting medical help.
The research, by the Arthritis Action Group, is published in the journal Annals of the Rheumatic Diseases.
It found management of musculoskeletal pain differed little across all eight countries.
However, while family doctors felt that they were managing the condition well, patients did not always feel the same way.
Around one in four of those with musculoskeletal pain said they did not seek medical help for it.
This was despite the fact that up to 75% of those surveyed suffered from pain on a constant or daily basis - to the extent that it limited routine activities.
Those that do seek help often wait several months or years before doing so.
However, around half of patients who had consulted a doctor about it said they were not currently being treated for their pain.
The doctors, on the other hand, said that they offered all patients some form of treatment - and virtually all of them said they were trying to improve the patients' quality of life.
Drug risks
Painkillers such as aspirin, known as NSAIDS, are the drugs most commonly prescribed to combat chronic pain.
However, most doctors said they were concerned that the drugs could have a bad effect on the digestive system if used over a long period.
German doctors were more likely to recommend exercise, physiotherapy, herbal medicine and acupuncture to their patients than any other doctors in Europe.
The survey indicates that most patients had found out about their condition from the media, friends and family, or physiotherapists - rather than from their doctor.
Only up to one in three patients said that the doctor had been their source of information.
And many patients were poorly informed about the risks and benefits of treatment.
Only half of patients in Sweden, Ireland, Germany, France and the UK, were aware that NSAIDs have side effects, for example.
Fears of addiction and over-reliance on medication were relatively common among both patients and doctors.
The researchers argue that patients are not being provided with sufficient information to help them effectively manage their problems.
Under-estimate the problem
Written and revised by
Gerald Hurowitz, M.D.
Our doctors write and review articles for accuracy and keep them up to date.
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