Therefore, Yoichi Tanaka and Shu Morioka of the doctoral program at Kio University conducted a patient education intervention based on the relationship between pain rhythm and physical activity during the day for one case with chronic pain. Then, the specific effect of considering the pain rhythm was examined.As a result, good changes in pain rhythm and physical activity after the intervention were observed.

　The case is a man in his 8s who has been presenting with neuropathic pain for about 60 years.Initial evaluation suggested that light-intensity physical activity (LIPA) may affect daytime pain intensity, so patient education shows pain that tends to worsen in the afternoon with LIPA in the afternoon. By explaining mainly how to reduce the pain by maintaining the pain, and by presenting "walking", which was highly important in the evaluation of the importance of activities of daily living, as a concrete means, the behavior change of the case was promoted.

　Then, in the post-intervention reassessment, there was a change in pain rhythm, such as an increase in LIPA in the afternoon, which was the focus of attention, and a shift in the weakest point of pain during the day, which tended to worsen in the afternoon, to 18:XNUMX. ..From the above, it was shown that therapeutic intervention for patients with chronic pain based on a combined evaluation centered on pain rhythm and physical activity has positive results for pain rhythm and physical activity.The group will continue to verify the effects of interventions in patients with various types of chronic pain.

Paper information:[World Journal of Clinical Cases] Effectiveness of patient education focusing on circadian pain rhythms: A case report and review of literature