CLINICAL PRACTICE GUIDELINES FOR NECK PAIN
Neck pain is a common pathology that is experienced by many individuals. It has been reported that up to 70% of the population will have neck pain some time in their lifetime. There is also research that has reported up to 30% of patients with neck pain will develop chronic symptoms. Patients with neck pain in the outpatient rehabilitation setting make up about 25% of those seeking physical therapy care.
Chronic lower back pain is a common diagnosis in the outpatient physical therapy clinic. In the aging population, spinal stenosis and other degenerative conditions are on the rise.1 Hip pain is also common, but not as common as lower back pain. Similar to degenerative conditions in the spine, degeneration of the hip is also on the rise due to the sharp increase of the aging population.1 Outpatient physical therapists will encounter these conditions separate from each other and in patients where both conditions co-exist.
PAIN NEUROSCIENCE EDUCATION: KNOW PAIN TO CHANGE PAIN
Chronic pain is complicated and challenging to treat. Approximately 1.5 billion people worldwide1 and 25 million adults in the US2 suffer daily from chronic pain. Opioid prescription for those with chronic pain has consistently risen and is associated with higher rates of abuse, addiction, and overdose. In 2017, approximately 58 opioid prescriptions were written for every 100 Americans.3 More than 200,000 people in the U.S. died from overdoses related to prescription opioids from 1999 to 2016.4