Abstract

FERNANDEZ-HERNANDEZ, M.; BOUZAS-PEREZ, D.  and  MARTIN-MORETON, C.. Osteo-muscular pathology and chronic pain: multidisciplinary rotation for Primary Care physicians. Rev. Soc. Esp. Dolor [online]. 2017, vol.24, n.5, pp.256-263. ISSN 1134-8046.  https://dx.doi.org/10.20986/resed.2017.3562/2017.

The knowledge of the management of Chronic Pain and Osteomuscular pathology for primary care physicians, regardless of their etiology, is a priority. This is due to the high prevalence of chronic pain, derived from musculoskeletal pathology, and neuropathic pain, which generate a high rate of consultations in Primary Care. It is necessary to establish a training strategy in the Teaching Units of Family and Community Medicine that promotes multidisciplinary rotations, which allow them to diagnose and initially treat musculoskeletal pathology with pain, as well as the most prevalent neuropathic pain pathologies. The objectives of rotation in the Pain Unit: initial approach of patients with chronic nociceptive and neuropathic pain, indications of each infiltration, management of opioids and adjuvants. Learning of those peripheral nerve blocks that can be applied in primary care, implementing the use of ultrasound In the rotation by the Rehabilitation service they will be able to learn the management of the musculoskeletal pathology: medication, tips-hygienic postural rules, exercises, infiltrations (echogive intervention), knowledge of the referral criteria to the different specialists. MAP can use (Non-Presence Interconsult, Musculoskeletal Units, diagnostic tests), allowing the resident to learn from the clinical cases, as well as the doubts and questions of other primary care physicians. Other elements to be developed in the rotation as a whole would be assistance to the multidisciplinary sessions: these are carried out among all the services in charge of these patients (Rehabilitation, Neurosurgery, Psychiatry, Clinical Psychology, Rheumatology and Pain Unit ). The final objective, encompassed within the framework of cooperation of Primary and Specialized Care, would be: the creation of Patient Care Protocols, development of Derivation Algorithms and collaboration in clinical studies.

Keywords : Primary care physicians; formative strategies; pain; musculoskeletal pathology.

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