Clinical Practice (assessment, diagnosis, treatment, knowledge translation/EBP, implementation science, program development)
Neuroplasticity (includes neuroscience)
Technology (e.g. robotics, assistive technology, mHealth)
Areerat Suputtitada, MD
Chulalongkorn University & King Chulalongkorn Memorial Hospital
Bangkok, Thailand, Krung Thep
Body of Abstract: Chronic spinal pain conditions are always challenging to be treated. After a clinical evaluation, a best informed diagnosis is needed before treatment. Peripheral sensitization and central sensitization always need to be considered along with treatment of the "original" sources of pain. Diagnostic ultrasound is a cost effective option that may be used for diagnosis and further treatment with novel therapeutic approaches including prolotherapy, platelet rich plasma, anesthetic, corticosteroids, or even sterile water for improved range of motion and regeneration of joints, tendons, muscles, and nerves. Dry and wet needling, extracorporeal shockwave therapy (ESWT) and high power laser therapy (HPLT) play roles of peripheral desensitization and regeneration of damaged tissues. The novel effect of ESWT is diminishing the calcification and HPLT is used in decreasing the swollen tissue within short period of treatment time. Transcranial magnetic stimulation (rTMS) and transcranial direct current stimulation (TDCS) are selected for central desensitization for pain modulation and novel effects for psychotherapy in chronic pain which mostly develop depression, emotional disturbance, or cognitive dysfunction.
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