Looking back: development in our understanding of the occurrence, aetiology and prognosis of chronic pain 1954-2004

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Abstract

This article summarizes the work of the Arthritis Research Campaign Epidemiology Unit in the field of pain and soft tissue rheumatism during the 50 years 1954-2004. It reviews the information gathered on the occurrence of symptoms and its causes, which began with Kellgren and Lawrence's pioneering work during the 1950s in the coalfields and general population of Leigh, Greater Manchester. They studied the roles of posture, mechanical load and the physical environment (dampness) on back pain. This was followed by the Calderdate study in the 1980s examining the prevalence of disability and its causes in the population, which demonstrated the important rote of regional pain in causing disability. More recent studies in the 1990s and at the beginning of the 21st century have allowed us to define the relative roles of mechanical (load) factors, individual (psychological) factors and the social environment, and the biological mechanisms by which they may result in symptoms. The further challenge over the coming decade is to use our knowledge of the aetiology and influences on outcome to design management strategies which demonstrate improved outcomes for patients.

Original languageEnglish
Pages (from-to)23-26
Number of pages3
JournalRheumatology
Volume44
Issue number4
DOIs
Publication statusPublished - 2005

Keywords

  • CHRONIC WIDESPREAD PAIN
  • GENERAL-POPULATION
  • FIBROMYALGIA
  • PREVALENCE
  • ADULTHOOD
  • CHILDHOOD

Cite this

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title = "Looking back: development in our understanding of the occurrence, aetiology and prognosis of chronic pain 1954-2004",
abstract = "This article summarizes the work of the Arthritis Research Campaign Epidemiology Unit in the field of pain and soft tissue rheumatism during the 50 years 1954-2004. It reviews the information gathered on the occurrence of symptoms and its causes, which began with Kellgren and Lawrence's pioneering work during the 1950s in the coalfields and general population of Leigh, Greater Manchester. They studied the roles of posture, mechanical load and the physical environment (dampness) on back pain. This was followed by the Calderdate study in the 1980s examining the prevalence of disability and its causes in the population, which demonstrated the important rote of regional pain in causing disability. More recent studies in the 1990s and at the beginning of the 21st century have allowed us to define the relative roles of mechanical (load) factors, individual (psychological) factors and the social environment, and the biological mechanisms by which they may result in symptoms. The further challenge over the coming decade is to use our knowledge of the aetiology and influences on outcome to design management strategies which demonstrate improved outcomes for patients.",
keywords = "CHRONIC WIDESPREAD PAIN, GENERAL-POPULATION, FIBROMYALGIA, PREVALENCE, ADULTHOOD, CHILDHOOD",
author = "MacFarlane, {Gary John}",
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doi = "10.1093/rheumatology/kei057",
language = "English",
volume = "44",
pages = "23--26",
journal = "Rheumatology",
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publisher = "OXFORD UNIV PRESS INC",
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TY - JOUR

T1 - Looking back: development in our understanding of the occurrence, aetiology and prognosis of chronic pain 1954-2004

AU - MacFarlane, Gary John

PY - 2005

Y1 - 2005

N2 - This article summarizes the work of the Arthritis Research Campaign Epidemiology Unit in the field of pain and soft tissue rheumatism during the 50 years 1954-2004. It reviews the information gathered on the occurrence of symptoms and its causes, which began with Kellgren and Lawrence's pioneering work during the 1950s in the coalfields and general population of Leigh, Greater Manchester. They studied the roles of posture, mechanical load and the physical environment (dampness) on back pain. This was followed by the Calderdate study in the 1980s examining the prevalence of disability and its causes in the population, which demonstrated the important rote of regional pain in causing disability. More recent studies in the 1990s and at the beginning of the 21st century have allowed us to define the relative roles of mechanical (load) factors, individual (psychological) factors and the social environment, and the biological mechanisms by which they may result in symptoms. The further challenge over the coming decade is to use our knowledge of the aetiology and influences on outcome to design management strategies which demonstrate improved outcomes for patients.

AB - This article summarizes the work of the Arthritis Research Campaign Epidemiology Unit in the field of pain and soft tissue rheumatism during the 50 years 1954-2004. It reviews the information gathered on the occurrence of symptoms and its causes, which began with Kellgren and Lawrence's pioneering work during the 1950s in the coalfields and general population of Leigh, Greater Manchester. They studied the roles of posture, mechanical load and the physical environment (dampness) on back pain. This was followed by the Calderdate study in the 1980s examining the prevalence of disability and its causes in the population, which demonstrated the important rote of regional pain in causing disability. More recent studies in the 1990s and at the beginning of the 21st century have allowed us to define the relative roles of mechanical (load) factors, individual (psychological) factors and the social environment, and the biological mechanisms by which they may result in symptoms. The further challenge over the coming decade is to use our knowledge of the aetiology and influences on outcome to design management strategies which demonstrate improved outcomes for patients.

KW - CHRONIC WIDESPREAD PAIN

KW - GENERAL-POPULATION

KW - FIBROMYALGIA

KW - PREVALENCE

KW - ADULTHOOD

KW - CHILDHOOD

U2 - 10.1093/rheumatology/kei057

DO - 10.1093/rheumatology/kei057

M3 - Editorial

VL - 44

SP - 23

EP - 26

JO - Rheumatology

JF - Rheumatology

SN - 1462-0324

IS - 4

ER -