Primary prevention

Your Organisational Guidance

ebpracticenet urges you to prioritise the following organisational guidance:

Multimodale aanpak van chronische primaire pijn (CPP) in de eerstelijnszorgPublished by: Werkgroep Ontwikkeling Richtlijnen Eerste Lijn (Worel)Last published: 2024Prise en charge multimodale de la douleur chronique primaire (DCP) en première ligne de soinsPublished by: Groupe de Travail Développement de recommmandations de première ligneLast published: 2024

Patients at risk for developing chronic pain, such as those in high-risk occupations, may benefit from the following:

  • Instruction for physiotherapy and occupational therapy to develop a general conditioning programme

  • Ergonomics

  • Proper body mechanics (e.g., carrying, pushing, and lifting techniques)

  • Pacing skills to reduce the risk for developing chronic pain.

Pre-emptive analgesia and effective postoperative pain control may also lessen the development of post-procedure chronic pain.

Vaccinations for the prevention of herpes zoster and its consequent postherpetic neuralgia are approved (unless otherwise contraindicated) for all people over 50 years of age, and for adults aged over 18 years who are at increased risk for herpes zoster because of immunodeficiency or immunosuppression caused by known disease or therapy.[34][35] Check local recommendations for the prevention of herpes zoster.

Secondary prevention

Patients should incorporate proper daily activity pacing, as well as incorporation of body mechanics (e.g., proper lifting and push-pull techniques), to avoid developing pain exacerbations.

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