in patients with chronic alterations in the spine

Abstract

 In our daily care work, we find some patients with a chronical pathology unable to get better with the therapy they have, which means the presence of some associated problems like tiredness,listlessness, anxiety or even mental depression.
  In our professional experience,- we have found that all of these problems are due to the follo¬
ing: the frequent medical visits, the excessive use of analgesic to reduce the pain without any re¬
ult, the disabled roll and the surgery proporsal. Frecuently, whitout taking care of the psychological factors of the pain. The objectives we propose are: to know the global situation of the patient; to inform the patient about his total assessment, helping him to understand his situation; to assess the real motivation of the situation; to improve the patient's quality of life.
 The treatment must be multifactorial. It is very important the coordination and the orientation in order not to confuse the patient.
  We propose a clear explanation to the patient about what is causing his psychological and orga¬
ic pathology, and also, to get from him a good motivation and implication in his psychological an organic treatment.