Extra Health Programme-Outcome after Five Years

Summary

The aim of the high standard rehabilitation programme was to verify and also to find out to what extent it is possible to influence chronic pain of observed patients and to monitor the specific factors that contribute to the chronic pain relief. 233 patients with chronic pain lasting more than three months (despite intensive therapy) went through the one office of our rehabilitation facility (R.R.R. Center - Center for the treatment of pain and movement disorders in Olomouc). 89 patients refused to participate in the rehabilitation programme. Three patients who agreed to participate in this programme had resigned after the apology during the treatment, rest of the patients resigned without apology. In cooperation with general practitioners and specialists the diagnostic and treatment efforts were focused maximally on 42 remaining patients. Complete regression of the chronic pain was recorded in cases of all of the 42 patients (16 men and 26 women). The treatment clarified that in etiological summary also functional musculoskeletal disorders participated besides the organic causes of chronic pain. These functional musculoskeletal disorders were the main etiological cause of the chronic pain. Promptly after removal of these disorders there came a pain relief up to 0 on a Visual Analogue Scale. The essential finding is that the organic changes proven on input with expectancy of long lasting course of chronic pain are not the main etiological cause of the chronic pain. On the contrary the main cause are the functional musculoskeletal disturbances with expectancy of effective treatment and possibility of complete regression of the chronic pain. Pathological reflex changes (Trigger and Tender points) participated dominantly in the pain symptomatics.

Keywords:
health program, chronic pain therapy, patient