GPs' experiences of managing non-specific neck pain--a qualitative study.
نویسندگان
چکیده
BACKGROUND Non-specific neck pain is a common complaint in general practice. Little is known about GPs' experiences of managing non-specific neck pain. OBJECTIVE This qualitative study aims to elucidate GPs' opinions on the cause, diagnosis and management of non-specific neck pain and their experiences with patients suffering from this complaint. METHODS A purposive sample of 19 German GPs was interviewed. Analysis was guided by predefined research questions and the general principles of grounded theory. We condensed the data into three key themes. RESULTS The first key theme was the aetiology of neck pain and the patients' difficulty in accepting psychological explanations. GPs reported that their patients asked for definite and expensive forms of therapy. Though GPs preferred cost-efficient forms of therapy, fulfilment of patient expectations was the second key theme. Some felt that satisfying patient wishes may facilitate a trusting relationship so that psychological explanations or advice to adopt an active physical lifestyle would be accepted by patients more open-mindedly. The third key theme was the GPs' view on orthopaedic surgeons. Sometimes specialist diagnoses helped to reinforce the GPs findings. But many GPs had doubts as to whether an orthopaedic surgeon could tackle psychosomatic aspects of this complaint. CONCLUSIONS In the case of non-specific neck pain, GPs often feel confronted with patients that demand dubious therapies and fail to consider psychological influences. The prescription of non-evidence-based therapies or referrals does not necessarily reflect a lack of knowledge but the GPs' strategic decision to improve the doctor-patient relationship.
منابع مشابه
The effect of adding gaze direction recognition to stabilizing exercises on pain, muscular endurance and proprioception women with chronic non-specific neck pain
Aims and background: Gaze direction recognition is one of the new treatments method for neck pain. The positive effects of stabilization exercises in various studies on neck pain have also been confirmed. Therefore, the aim of this study was to investigate the effect of adding a gaze direction recognition program to common stabilizing exercises on neck pain intensity, muscular endurance and pro...
متن کاملThe effect of six weeks of cognitive functional therapy on pain, disability and fear of movement in people with chronic non-specific neck pain
Purpose: Neck pain is one of the most common problems in human societies. There are many factors involved in the etiology of neck pain, and cognitive problems related to pain are among the most important factors involved for non-specific neck pain. The aim of this study was to investigate the effect of six weeks of functional cognitive training on the pain intensity, disability and Kinesiophob...
متن کاملComparing the Effect of Soft Tissue Stretching and Release Strategies on Pain, Fatigue and Quality of Life in employees with Non-Specific Chronic Neck Pain
Introduction and objectives: Chronic neck pain is one of the most common musculoskeletal disorders that greatly impact people's quality of life, health, and work efficiency. With the high costs of drug treatments, the search for simple and low-cost treatment solutions is inevitable Stretching and tissue release techniques are effective solutions in correcting skeletal-muscular disorders; In thi...
متن کاملImprovements in Quality of Life and Range of Motion in Shoulder and Neck Area after Dalk and Ghamz Massage in Patients with Chronic Non-specific Neck Pain
Background and purpose: Chronic neck pain is a common problem in musculoskeletal disorders and limitation of neck and shoulder movements can reduce quality of life. The aim of this study was to evaluate the effect of Dalk and Ghamz massage on range of neck and shoulder motions and quality of life in patients with chronic non-specific neck pain. Materials and methods: This quasi-experimental st...
متن کاملPostural stability in patients with non-specific chronic neck pain: A comparative study with healthy people
Background: Impairment of cervical sensory input in patients with neck pain may disturb postural stability. The purpose of present study was to assess the dynamic postural stability of subjects with chronic neck pain compared to a matched control group. Methods: In this case-control study, 22 chronic non-specific neck pain and 22 healthy individuals participated. Postural stabilit...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Family practice
دوره 28 3 شماره
صفحات -
تاریخ انتشار 2011