A Case of Successful Rehabilitation for Controlling Chronic Pain Following Osteonecrosis of the Femoral Head in a Young Adult Cancer Survivor
A 26-year-old woman previously treated for acute lymphoblastic leukemia (ALL) 14 years ago faced challenges in managing chronic pain resulting from right femoral head necrosis, a complication of her earlier ALL treatment. Ultimately, the persistent chronic pain was successfully treated via a compreh...
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Published in | Cureus Vol. 16; no. 1; p. e52120 |
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Main Authors | , |
Format | Journal Article |
Language | English |
Published |
United States
Springer Science and Business Media LLC
11.01.2024
Springer Nature B.V |
Subjects | |
Online Access | Get full text |
ISSN | 2168-8184 2168-8184 |
DOI | 10.7759/cureus.52120 |
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Abstract | A 26-year-old woman previously treated for acute lymphoblastic leukemia (ALL) 14 years ago faced challenges in managing chronic pain resulting from right femoral head necrosis, a complication of her earlier ALL treatment. Ultimately, the persistent chronic pain was successfully treated via a comprehensive rehabilitation approach. The patient presented with hip contractures, muscle weakness, and reduced endurance without evident arthropathic changes or inflammatory findings in the femoral head. Active physiotherapy was implemented with the primary objective of increasing her social activity. This therapeutic intervention effectively managed the severe pain without the necessity for analgesic drugs, leading to a significant improvement in the patient's social activity. Recognizing the adolescent and young adult age group as a critical phase of physical, psychological, and social development, cancer survivors within this age group require multimodal care. This study highlights the role of stepwise rehabilitation treatments involving stretching, muscle strengthening, and endurance training, particularly in challenging cases of chronic pain. Post-treatment interviews revealed that successful experiences in each movement contributed to increased self-efficacy and promoted not only the control of chronic pain but also fostered improvements in social activities. |
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AbstractList | A 26-year-old woman previously treated for acute lymphoblastic leukemia (ALL) 14 years ago faced challenges in managing chronic pain resulting from right femoral head necrosis, a complication of her earlier ALL treatment. Ultimately, the persistent chronic pain was successfully treated via a comprehensive rehabilitation approach. The patient presented with hip contractures, muscle weakness, and reduced endurance without evident arthropathic changes or inflammatory findings in the femoral head. Active physiotherapy was implemented with the primary objective of increasing her social activity. This therapeutic intervention effectively managed the severe pain without the necessity for analgesic drugs, leading to a significant improvement in the patient's social activity. Recognizing the adolescent and young adult age group as a critical phase of physical, psychological, and social development, cancer survivors within this age group require multimodal care. This study highlights the role of stepwise rehabilitation treatments involving stretching, muscle strengthening, and endurance training, particularly in challenging cases of chronic pain. Post-treatment interviews revealed that successful experiences in each movement contributed to increased self-efficacy and promoted not only the control of chronic pain but also fostered improvements in social activities. A 26-year-old woman previously treated for acute lymphoblastic leukemia (ALL) 14 years ago faced challenges in managing chronic pain resulting from right femoral head necrosis, a complication of her earlier ALL treatment. Ultimately, the persistent chronic pain was successfully treated via a comprehensive rehabilitation approach. The patient presented with hip contractures, muscle weakness, and reduced endurance without evident arthropathic changes or inflammatory findings in the femoral head. Active physiotherapy was implemented with the primary objective of increasing her social activity. This therapeutic intervention effectively managed the severe pain without the necessity for analgesic drugs, leading to a significant improvement in the patient's social activity. Recognizing the adolescent and young adult age group as a critical phase of physical, psychological, and social development, cancer survivors within this age group require multimodal care. This study highlights the role of stepwise rehabilitation treatments involving stretching, muscle strengthening, and endurance training, particularly in challenging cases of chronic pain. Post-treatment interviews revealed that successful experiences in each movement contributed to increased self-efficacy and promoted not only the control of chronic pain but also fostered improvements in social activities.A 26-year-old woman previously treated for acute lymphoblastic leukemia (ALL) 14 years ago faced challenges in managing chronic pain resulting from right femoral head necrosis, a complication of her earlier ALL treatment. Ultimately, the persistent chronic pain was successfully treated via a comprehensive rehabilitation approach. The patient presented with hip contractures, muscle weakness, and reduced endurance without evident arthropathic changes or inflammatory findings in the femoral head. Active physiotherapy was implemented with the primary objective of increasing her social activity. This therapeutic intervention effectively managed the severe pain without the necessity for analgesic drugs, leading to a significant improvement in the patient's social activity. Recognizing the adolescent and young adult age group as a critical phase of physical, psychological, and social development, cancer survivors within this age group require multimodal care. This study highlights the role of stepwise rehabilitation treatments involving stretching, muscle strengthening, and endurance training, particularly in challenging cases of chronic pain. Post-treatment interviews revealed that successful experiences in each movement contributed to increased self-efficacy and promoted not only the control of chronic pain but also fostered improvements in social activities. |
Author | Matsuoka, Mari Aoyama, Tomoki |
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Cites_doi | 10.1037//0033-295x.84.2.191 10.3928/01477447-20110826-07 10.1200/JCO.23.01751 10.1089/jayao.2020.0232 10.1016/S2352-4642(21)00339-4 10.1056/NEJM199205283262206 10.1002/pbc.27516 10.3389/fpsyg.2020.603420 10.1007/s11999-010-1292-x 10.1007/s007760200108 10.1016/j.bja.2019.03.023 10.1089/jayao.2021.0217 |
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References | Mills SE (ref8) 2019; 123 Morino T (ref12) 2021; 10 Burkart M (ref1) 2019; 66 Sugano N (ref7) 2002; 7 Fukushima W (ref5) 2010; 468 Shinohara Y (ref11) 2023; 12 Petrini L (ref9) 2020; 11 Bandura A (ref10) 1977; 84 Mankin HJ (ref4) 1992; 326 Armenian SH (ref2) 2023 Cay M (ref3) 2022; 6 Madadi F (ref6) 2011; 34 |
References_xml | – volume: 84 year: 1977 ident: ref10 article-title: Self-efficacy: toward a unifying theory of behavioral change publication-title: Psychol Rev doi: 10.1037//0033-295x.84.2.191 – volume: 34 year: 2011 ident: ref6 article-title: Avascular necrosis of the femoral head in children with acute lymphoblastic leukemia: a 4- to 9-year follow-up study publication-title: Orthopedics doi: 10.3928/01477447-20110826-07 – year: 2023 ident: ref2 article-title: Burden of morbidity and mortality in adolescent and young adult cancer survivors publication-title: J Clin Oncol doi: 10.1200/JCO.23.01751 – volume: 10 year: 2021 ident: ref12 article-title: Perception gap in health-related quality of life between young adult survivors of childhood cancer and their family publication-title: J Adolesc Young Adult Oncol doi: 10.1089/jayao.2020.0232 – volume: 6 year: 2022 ident: ref3 article-title: Childhood maltreatment and its role in the development of pain and psychopathology publication-title: Lancet Child Adolesc Health doi: 10.1016/S2352-4642(21)00339-4 – volume: 326 year: 1992 ident: ref4 article-title: Nontraumatic necrosis of bone (osteonecrosis) publication-title: N Engl J Med doi: 10.1056/NEJM199205283262206 – volume: 66 year: 2019 ident: ref1 article-title: Future health of AYA survivors publication-title: Pediatr Blood Cancer doi: 10.1002/pbc.27516 – volume: 11 year: 2020 ident: ref9 article-title: Understanding pain catastrophizing: Putting pieces together publication-title: Front Psychol doi: 10.3389/fpsyg.2020.603420 – volume: 468 year: 2010 ident: ref5 article-title: Nationwide epidemiologic survey of idiopathic osteonecrosis of the femoral head publication-title: Clin Orthop Relat Res doi: 10.1007/s11999-010-1292-x – volume: 7 year: 2002 ident: ref7 article-title: The 2001 revised criteria for diagnosis, classification, and staging of idiopathic osteonecrosis of the femoral head publication-title: J Orthop Sci doi: 10.1007/s007760200108 – volume: 123 year: 2019 ident: ref8 article-title: Chronic pain: a review of its epidemiology and associated factors in population-based studies publication-title: Br J Anaesth doi: 10.1016/j.bja.2019.03.023 – volume: 12 year: 2023 ident: ref11 article-title: Comparison of psychological quality of life between long-term survivors of childhood cancer and their families publication-title: J Adolesc Young Adult Oncol doi: 10.1089/jayao.2021.0217 |
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SubjectTerms | Cancer therapies Case reports Chemotherapy Chronic pain Confidence Families & family life Hip joint Leukemia Magnetic resonance imaging Muscle strength Necrosis Pain Management Patients Physiology Professionals Psychological aspects Range of motion Rehabilitation Survivor Teenagers Tomography Young adults |
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Title | A Case of Successful Rehabilitation for Controlling Chronic Pain Following Osteonecrosis of the Femoral Head in a Young Adult Cancer Survivor |
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