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CHRONIC JOINT PAIN MANAGEMENT

Hanan mosad Almatrafi , Haneen Basem Ibraheem Nafadi , Fatimah Shafiq Al Mubarak , Ghadeer Adil M Banjar , Hassan Ali Al-Mohammed, Zahra Mohammed AlFardan , Abdullah Abdulrahman abdulhai Abdullah , Ghadeer Nadeer Abdullah Alzaher , Mustafa Talal Maghrabi Fitaih , Abeer Mahdi Al Hashel , Ayde Mobark Dawas AlQarni , Abdurhman ahmed mohammed Alshikhi

Introduction: In the year 2010, the Pain Management Task Force of the American College of Rheumatology (ACR) stated on their guidelines regarding pain as a crucial consideration within the clinical practice of rheumatologists and rheumatology around the world. The Executive Committee of the ACR later recommended the task force to raise the knowledge of a rheumatologist’s part during the management of pain and the place of pain in rheumatology-related research, practice, and clinical education protocols. The report included guidelines to be recommended by the ACR and the Association of Rheumatology Health Professionals (ARHP). Since the year 2010, the Institute of Medicine published their guidelines with the title “Relieving Pain in America,” which focused on the importance of tailoring pain care to the special needs of the level of individual patients; these guidelines also emphasized on the high importance of inter-disciplinary clinical care. however, in the last decade, the guidelines of ACR Pain Management Task Force have achieved only limited goals as had occurred similarly with similar guidelines published by other association like the Institute of Medicine. With the 2010 Task Force guidelines in mind, this review will provide an update of the status of the place of pain as a general concern during the practice of the subspecialty of rheumatology.Aim of work: In this review, we will discuss Chronic joint pain management.Methodology: We did a systematic search for Chronic joint pain management in the emergency department using PubMed search engine (http://www.ncbi.nlm.nih.gov/) and Google Scholar search engine (https://scholar.google.com). All relevant studies were retrieved and discussed. We only included full articles.Conclusions: The issue of pain and its therapy is still an area of research, debates and clinical significance. Our understanding of pain pathophysiology is improving but remains not complete. Pain therapies remain insufficient in benefits and linked to with several toxicities. Despite this, rheumatologists and physicians continue to treat patients with painful rheumatic conditions on a daily basis. The specialty of rheumatology, through its professional organizations ACR and ARHP must keep the forefront of advances in the elucidation of pain and its impact on patients with rheumatic diseases. The ACR and ARHP must be committed to supporting pain research and informing its membership, including trainees, about advances in this field. Key words: Chronic joint pain, causes, management.

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