Self-regulation of chronic arthritic pain and long-term analgesic dependence in a haemophiliac.
Haemophilia is characterized by recurrent internal bleeding episodes, with repeated haemorrhages into the joint areas eventually resulting in a chronic condition similar to osteoarthritis. A 31-year-old haemophiliac, with a nine-year history of narcotic analgesic dependence secondary to chronic arthritis pain, learned self-regulation techniques consisting of progressive muscle relaxation exercises, meditative breathing, and guided imagery. Long-term follow-up evidenced clinically significant decreases in arthritic pain intensity and analgesic intake subsequent to self-regulation training.
D000328:Adult; D001521:Behavior Therapy; D011431:Dextropropoxyphene; D006467:Hemophilia A / Q000150:complications*; D006801:Humans; D008297:Male; D010146:Pain / Q000209:etiology; D059408:Pain Management; D012648:Self Care; D019966:Substance-Related Disorders / Q000628:therapy*
D011431:Dextropropoxyphene