Treatment of Musculoskeletal Disorders- Scientific Review of the Literature

Abstract

Purpose of the article: The purpose of the article is to present a paper about treatment of musculoskeletal disorders from review of literature. Materials and methods: In March and April 2019 were searched various biomedical databases such as PubMed, Research Gate and Academia.edu using the keywords "Work Related Musculoskeletal Disorders", "Musculoskeletal Injuries", "Work Injuries", "Physiotherapists", "Occupational health", “Treatment”, on the basis of which the presentation of the data obtained in the found research was done. Results: By reviewing 50 references, we presented the principles of treatment of musculoskeletal disorders. For many patients, clinical treatment decisions are often focused on a specific region of the body without much recourse to the potential impact of prognostic factors or other coexisting pain problems. It is difficult to obtain a more holistic view because examinations and systematic examinations usually focus on the specific site of musculoskeletal pain, comparing only two or three treatment options. Conclusion: Exercise therapy is beneficial for pain, function, and quality of life. Current research evidence shows significant positive effects in exercise programs on pain, function, quality of life, and work-related results in the short and long term for all manifestations of musculoskeletal pain (compared to subjects without exercise). Manual therapy has little or no clinically relevant effect on pain intensity, functional status, global improvement or return to work in patients with acute, subacute or chronic back pain with or without sciatica. TENS was no more effective in reducing placebo pain in chronic back pain, neck pain, shoulder pain, knee pain, and chronic musculoskeletal pain in general. Ultrasound and shock wave therapy do not significantly improve the clinical outcomes of acute and chronic lower back pain.