The Effects of Repeated Thermal Therapy for Patients with Chronic PainMasuda A.b · Koga Y.a · Hattanmaru M.c · Minagoe S.d · Tei C.d
aNishi Kyusyu University, Saga, bPsychosomatic Medicine, Respiratory and Stress Care Center, Kagoshima University Hospital, cHattanmaru Hospital, and dCardiovascular, Respiratory and Metabolic Medicine, Kagoshima University Graduate School of Medical and Dental Science, Kagoshima, Japan
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Background: It has been reported that local thermal therapy with a hot pack or paraffin relieves pain. We hypothesized that systemic warming may decrease pain and improve the outcomes in patients with chronic pain. The purpose of this study was to clarify the effects of systemic thermal therapy in patients with chronic pain. Methods: Group A (n = 24) patients with chronic pain were treated by a multidisciplinary treatment including cognitive behavioral therapy, rehabilitation, and exercise therapy, whereas group B (n = 22) patients were treated by a combination of multidisciplinary treatment and repeated thermal therapy. A far-infrared ray dry sauna therapy and post-sauna warming were performed once a day for 4 weeks during hospitalization. We investigated the improvements in subjective symptoms, the number of pain behavior after treatment and outcomes 2 years after discharge. Results: The visual analog pain score, number of pain behavior, self-rating depression scale, and anger score significantly decreased after treatment in both groups. After treatment, the number of pain behavior was slightly smaller (p = 0.07) and anger score was significantly lower in group B than those in group A (p = 0.05). Two years after treatment, 17 patients (77%) in group B returned to work compared with 12 patients (50%) in group A (p < 0.05). Conclusion: These results suggest that a combination of multidisciplinary treatment and repeated thermal therapy may be a promising method for treatment of chronic pain.
© 2005 S. Karger AG, Basel
- McCracken LM, Turk DC: Behavioral and cognitive-behavioral treatment for chronic pain. Spine 2002;27:2564–2573.
- Jensen IB, Bergstrom G, Ljungquist T, Bodin L, Nygren AL: A randomized controlled component analysis of a behavioral medicine rehabilitation program for chronic spinal pain: Are the effects dependent on gender? Pain 2001;91:65–78.
- Kroenke K, Swindle R: Cognitive-behavioral therapy for somatization and symptom syndromes: A critical review of controlled clinical trials. Psychother Psychosom 2000;69:205–215.
- Turk DC: Clinical effectiveness and cost-effectiveness of treatments for patients with chronic pain. Clin J Pain 2002;18:355–365.
- Harkapaa K, Jarvikoski A, Mellin G, Hurri H, Luoma J: Health locus of control beliefs and psychological distress as predictors for treatment outcome in low back pain patients: Results of a 3-month follow-up of a controlled intervention study. Pain 1991;46:35–41.
- Schwartz L, Slater MA, Birchler GR: The role of pain behaviors in the modulation of martial conflict in chronic pain couples. Pain 1996;65:227–233.
- McMahon MJ, Gatchel RJ, Polatin PB, Mayer TG: Early childhood abuse in chronic spinal disorder patients: A major barrier to treatment success. Spine 1997;22:2408–2415.
- Payne B, Norfleet MA: Chronic pain and the family: A review. Pain 1986;26:1–22.
Michlovitis SL: Thermal Agents in Rehabilitation. Philadelphia, FA Davis Company, 1986, pp 99–118.
- Greenberg RG: The effects of hot packs and exercise on local blood flow. Phys Ther 1972;52:273–276.
- Tei C, Horikiri Y, Park JC, Jeong JW, Chang KS, Toyama Y, Tanaka N: Acute hemodynamic improvement by thermal vasodilation in congestive heart failure. Circulation 1995;91:2582–2590.
- Kihara T, Biro S, Imamura M, Yoshifuku S, Takasaki K, Ikeda Y, Otsuji Y, Minagoe S, Toyama Y, Tei C: Repeated sauna treatment improves vascular endothelial and cardiac function in patients with chronic heart failure. J Am Coll Cardiol 2002;39:754–759.
- Zung WWK: A self-rating depression scale. Arch Gen Psychiatry 1965;12:63–70.
- Brodman K, Erdmann AJ, Lorge I, Gershenson CP, Wolf HG, Caples B: The Cornell Medical Index-Health questionnaire. 3. The evaluation of emotional disturbances. J Clin Psychol 1952;8:119–124.
- Masuda A, Nozoe S, Matsuyama T, Tanaka H: Psychobehavioral and immunological characteristics of adult people with chronic fatigue and patients with chronic fatigue syndrome. Psychosom Med 1994;56:512–518.
- Cutler RB, Fishbain DA, Rosomoff HL, Abdel-Moty E, Khalil TM, Rosomoff RS: Does nonsurgical pain center treatment of chronic pain return patients to work? A review and meta-analysis of the literature. Spine 1994;19:643–652.
- Fordyce WE, Fowler RS Jr, Lehmann JF, DeLateur BJ, Sand PL, Trieschmann RB: Operant conditioning in the treatment of chronic pain. Arch Phys Med Rehabil 1973;54:399–408.
- Maruta T, Swanson DW, McHardy MJ: Three year follow-up of patients with chronic pain who were treated in a multidisciplinary pain management center. Pain 1990;41:47–53.
- Nurmikko T, Hietaharju A: Effect of exposure to sauna heat on neuropathic and rheumatoid pain. Pain 1992;49:43–51.
Lehman JF, Brunner GD, McMillan JA, Silverman DR, Johnson VC: Modification of heating patterns produced by microwaves at the frequencies of 2,456 and 900 mc by physiologic factors in the human. Arch Phys Med Rehabil 1964;45:555–563.
- Honda K, Inoue S: Sleep-enhancing effects of far-infrared radiation in rats. Int J Biometeorol 1988;32:92–94.
Masuda A, Kihara T, Fukudome T, Shinsato T, Minagoe S, Tei C: The effects of repeated thermal therapy for two patients with chronic fatigue syndrome. J Psychosom Res, in press.
- McCracken LM: Learning to live with the pain: Acceptance of pain predicts adjustment in persons with chronic pain. Pain 1998;74:21–27.
- Engel GL: ‘Psychogenic’ pain and the pain prone patient. Am J Med 1959;26:899–918.
- Bruehl S, Burns JW, Chung OY, Ward P, Johnson B: Anger and pain sensitivity in chronic low back pain patients and pain-free controls: The role of endogeneous opioids. Pain 2002;99:223–233.
Hattanmaru K, Masuda A. Nakayama T, Kuroki N, Tei C, Hattanmaru M: Multidisciplinary treatment and the outcome in patients with chronic pain (in Japanese). Jpn J Psychosom Med 2004;44:193–200.
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