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Body aches
Shoulder pain
Back pain
Lower back pain
Knee pain
Pain in bones all over body
Aching joints
Back of knee pain
Difficulty with moving
Sore finger joints
Hand and finger cramps
Not seeing your symptoms? No worries!
Pain that is ongoing and typically lasts longer than six months. This kind of pain can persist even after the injury or illness causing it has healed or disappeared. It interferes with daily life and can lead to depression and anxiety.
Your doctor may ask these questions to check for this disease:
The first step in treatment is to identify and treat the cause. When that isn't possible, the most effective approach is a combination of medications, therapies, and lifestyle changes.
Reviewed By:
Scott Nass, MD, MPA, FAAFP, AAHIVS (Primary Care)
Dr. Nass received dual medical degrees from the David Geffen School of Medicine at UCLA and Charles R. Drew University in Medicine and Science. He completed Family Medicine residency at Ventura County Medical Center with subsequent fellowships at Ventura, University of North Carolina-Chapel Hill, George Washington University, and University of California-Irvine. He holds faculty appointments at Keck School of Medicine of USC, Loma Linda University School of Medicine, and Western University of Health Sciences.
Content updated on Dec 13, 2024
Following the Medical Content Editorial Policy
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With a free 3-min Chronic Pain quiz, powered by Ubie's AI and doctors, find possible causes of your symptoms.
This questionnaire is customized to your situation and symptoms, including the following personal information:
Biological Sex - helps us provide relevant suggestions for male vs. female conditions.
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History - considers past illnesses, surgeries, family history, and lifestyle choices.
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Q.
Chronic Pain? Why Your Fascia is Tight & Medically Approved Next Steps
A.
Chronic pain often involves tight fascia, the body’s connective tissue web around muscles, nerves, vessels, bones, and organs; it can stiffen from injury, inactivity, repetitive strain, stress, dehydration, inflammation, and aging, leading to aching, pulling pain that may improve with gentle movement. Medically supported next steps include daily gentle movement, myofascial release, physical therapy, ergonomic adjustments, hydration, and stress reduction, with urgent care for red flags; there are several factors to consider that could change your next steps, so see the complete guidance and warnings below.
References:
* Stecso A, Gesi M, Stecco C, Stern R. The Fascial System and Chronic Pain: An Overview. Eur J Transl Myol. 2019 Jul 29;29(3):8509. doi: 10.4081/ejtm.2019.8509. PMID: 31448208; PMC: PMC6695277.
* Wilke J, Schleip R, Klingler W, Stecco C. The clinical relevance of the thoracolumbar fascia-A systematic review. J Anat. 2017 Dec;231(6):877-888. doi: 10.1111/joa.12680. Epub 2017 Sep 15. PMID: 28846146; PMC: PMC5688536.
* Bordoni B, Simonelli M. The Pelvic Diaphragm, Myofascial Pain and Dysfunction: A Narrative Review. Pain Pract. 2022 Mar;22(3):328-338. doi: 10.1111/papr.13076. Epub 2022 Jan 10. PMID: 34964177.
* Wilke J, Priess J, Dechman G, Schwabe L, Hinz C, Engler A. Changes in fascial mechanical properties in chronic low back pain: A systematic review. Clin Biomech (Bristol, Avon). 2021 Nov;90:105372. doi: 10.1016/j.clinbiomech.2021.105372. Epub 2021 Oct 22. PMID: 34749108.
* Larrabee J, Hagey JM, Pukenas E, Carr CM. Myofascial Pain Syndrome: An Evidence-Based Approach to Diagnosis and Treatment. Pain Pract. 2021 Mar;21(3):304-319. doi: 10.1111/papr.12965. Epub 2020 Nov 10. PMID: 33179261.
Q.
Constant Pain? Why Red Light Therapy Recharges Your Cells + Your Recovery Plan
A.
Red light therapy uses specific red and near infrared wavelengths to recharge mitochondria and boost ATP, while reducing inflammation, improving blood flow and supporting nerve repair, which can ease osteoarthritis, back and neck pain, tendon injuries, neuropathy and muscle soreness. There are several factors to consider. Results are best when it is part of a broader recovery plan that includes a clear diagnosis, consistent sessions, safe movement, sleep and nutrition support, stress calming strategies, and attention to safety and red flag symptoms; see below for the complete details that can guide your next steps.
References:
* Cotler, H. B., Chow, R. T., & Hamblin, M. R. (2015). The use of low level laser therapy (LLLT) for musculoskeletal pain. *MOJ Sports Med*, *2*(4), 00037.
* Huang, Y. Y., & Hamblin, M. R. (2017). Photobiomodulation for tissue regeneration. *Journal of Biophotonics*, *10*(10), 1269-1271.
* Leal-Junior, E. C. P., Vanin, A. A., & de Almeida, J. S. (2019). Photobiomodulation (PBM) for the treatment of musculoskeletal disorders: a review of efficacy and mechanisms. *Journal of Biophotonics*, *12*(10), e201900085.
* Chung, H., Dai, T., Sharma, S. K., Huang, Y. Y., Carroll, J. D., & Hamblin, M. R. (2012). The mechanisms of photobiomodulation in the nervous system. *Neurophotonics*, *1*(3), 031003.
* Prazeres, J. A., Soares, L. G., & Simões, P. (2022). Photobiomodulation therapy (PBMT) in chronic musculoskeletal pain: a systematic review and meta-analysis. *Journal of Pain Research*, *15*, 2459–2474.
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Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1Fillingim RB, Loeser JD, Baron R, Edwards RR. Assessment of Chronic Pain: Domains, Methods, and Mechanisms. J Pain. 2016 Sep;17(9 Suppl):T10-20. doi: 10.1016/j.jpain.2015.08.010. PMID: 27586827; PMCID: PMC5010652.
https://www.jpain.org/article/S1526-5900(15)00865-2/fulltextCohen SP, Vase L, Hooten WM. Chronic pain: an update on burden, best practices, and new advances. Lancet. 2021 May 29;397(10289):2082-2097. doi: 10.1016/S0140-6736(21)00393-7. PMID: 34062143.
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)00393-7/fulltextTreede RD, Rief W, Barke A, Aziz Q, Bennett MI, Benoliel R, Cohen M, Evers S, Finnerup NB, First MB, Giamberardino MA, Kaasa S, Korwisi B, Kosek E, Lavand'homme P, Nicholas M, Perrot S, Scholz J, Schug S, Smith BH, Svensson P, Vlaeyen JWS, Wang SJ. Chronic pain as a symptom or a disease: the IASP Classification of Chronic Pain for the International Classification of Diseases (ICD-11). Pain. 2019 Jan;160(1):19-27. doi: 10.1097/j.pain.0000000000001384. PMID: 30586067.
https://journals.lww.com/pain/Abstract/2019/01000/Chronic_pain_as_a_symptom_or_a_disease__the_IASP.3.aspxGatchel RJ, McGeary DD, McGeary CA, Lippe B. Interdisciplinary chronic pain management: past, present, and future. Am Psychol. 2014 Feb-Mar;69(2):119-30. doi: 10.1037/a0035514. PMID: 24547798.
https://psycnet.apa.org/doiLanding?doi=10.1037%2Fa0035514