Knee Deep in Pain

Annie Y. Wong
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Abstract

Osteoarthritis is a degenerative joint disease that affects millions of adults in the United States and is a significant healthcare burden for medical costs and loss of productivity. Although osteoarthritis may inhibit different joints in the body, the knee joint is most commonly affected, leading to knee pain, swelling, and stiffness. This issue is encountered by healthcare providers in orthopaedics, emergency medicine, and primary care daily, and the biomedical model taught in medical education often emphasizes a one-size-fits-all treatment approach. This literature review examines whether the biopsychosocial model could be used to manage chronic knee osteoarthritis instead. This report introduces the biopsychosocial model as a holistic approach that considers a patient's psychological and social factors in addition to the biology of disease. This report concludes that although the effectiveness of the biopsychosocial model and management of cancer-related pain have been studied, additional research is needed to examine the utilization of the biopsychosocial model with chronic knee osteoarthritis.
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膝盖深陷疼痛
骨关节炎是一种退行性关节疾病,影响着美国数百万成年人,是医疗成本和生产力损失的重大医疗负担。尽管骨关节炎可能会抑制体内不同的关节,但膝关节最常受到影响,导致膝盖疼痛、肿胀和僵硬。骨科、急诊医学和初级保健的医疗保健提供者每天都会遇到这个问题,而医学教育中教授的生物医学模式往往强调一刀切的治疗方法。这篇文献综述探讨了生物心理社会模型是否可以用来治疗慢性膝关节骨性关节炎。本报告介绍了生物心理社会模型,它是一种综合方法,除了考虑疾病的生物学因素外,还考虑了患者的心理和社会因素。该报告的结论是,尽管已经研究了生物心理社会模型的有效性和癌症相关疼痛的管理,但还需要进一步的研究来检查生物心理社会模式在慢性膝关节骨性关节炎中的应用。
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