23:25-25:18
And often, in order to do that, we need a team. So just like our superheroes these days are fighting their arch-nemesis using groups and people with different skill sets, we need to think about that same kind of approach in managing chronic pain.
痛みを管理していくには、チームが必要です。スーパーヒーローが敵をやっつけるときには様々な能力を持った仲間と一緒になって戦いますが、慢性痛についても同じです。
So oftentimes our primary care physicians are the people, who are kind of the first-line provider, who are managing the pain. And for those people who are lucky enough to have access to kind of other specialists, certainly there are chronic pain specialists. Usually these are anesthesiologists.
まずはかかりつけ医です。痛みの一次治療をしてくれます。幸運な方であれば、慢性痛の専門家にかかる機会もあるかもしれません。その専門家は通常は麻酔科医です。
There are psychiatrists around the country, who do understand kind of the interaction of mood and chronic pain and can be helpful.
精神科医も各地にいます。気分と慢性痛の関係について理解してくれますので、頼りになります。
There's a special, specialty called physical medicine and rehabilitation, which is short, the shorthand in PM&R and these are physicians, who kind of excel in understanding how muscles move and are connected to each other and oftentimes can help with kind of local injections or do physical therapy techniques for patients.
理学療法やリハビリといった方法もあります。こうした方法に精通しているのが理学療法士です。筋肉の動きや他の部位とのつながりなどの知識があり、注射や理学療法を行ってくれます。
There's the blossoming field of integrative medicine, which again includes complementary and alternative techniques and then, there's other clinical providers like psychologists, occupational therapists, therapists that specialize in group or family therapy and then, you know, as the data showed, a lot of individuals use physical therapy.
また代替医療などの総合医療もあります。心理学者や作業療法士、セラピストはグループセラピーや家族セラピーを専門としています。データでは、多くの方が理学療法を行っていることがわかります。
I'd like to remind patients especially with conditions that are like connected tissue disorders or joint hypermobility disorders like Marfan syndrome, that it's important to find a physical therapist, who understands what chronic pain is and that it's not going to be alleviated with six weeks of acute pain therapy, so it's someone who can help kind of build an exercise regimen around strengthening the muscles without worsening joint hypermobility.
特にマルファン症候群のような、結合組織疾患や関節の過可動障害の方では、慢性痛に詳しく、6週間の治療では痛みは軽くならないということを理解している理学療法士を見つけることが重要です。過剰に動く関節を悪化させないよう、筋肉を強化してくれる運動療法を考えることのできる理学療法士を見つけましょう。
The Marfan Foundation did not participate in the translation of these materials and does not in any way endorse them. If you are interested in this topic, please refer to our website, Marfan.org, for materials approved by our Professional Advisory Board.
The Marfan Foundation は、当翻訳には関与しておらず、翻訳内容に関してはいかなる承認も行っておりません。このトピックに興味をお持ちの方は、Marfan.org にアクセスし、当協会の専門家から成る諮問委員会が承認した内容をご参照ください。
