PRIHVATANJE, USVAJANJE I PROŠIRENJE KONCEPTA SAMOIZLEČENJA U CILJU UNAPREĐENJA LEČENJA BOLA MIŠIĆNO-SKELETNOG SISTEMA

The rising global burden of painful musculoskeletal (MSK) conditions – particularly chronic conditions such as low back pain (LBP) and osteoarthritis (OA) – represents one of the most pressing public health challenges of our time [1–4]. Traditional primary clinical care models are largely centered on unimodal, passive interventions, pharmacological management (including polypharmacy and general overreliance on opioids), or surgical procedures [5]. Despite their wide spread use, these approaches have consistently failed to curb the growing MSK pain epidemic, especially among older adults and geriatric populations [6]. This limited effectiveness is largely attributable to the narrow focus of traditional strategies, which often rely on single-modality treatments with modest long-term benefits and substantial risks of adverse effects [7]. The escalating prevalence and chronicity of MSK pain underscores the need for a paradigm shift toward multimodal pain management – an integrated, evidence-based approach that combines pharmacological and non-pharmacological therapies tailored to individual patient needs. The persistent inability to deliver cost-effective and sustainable MSK pain care highlights the shortcomings of models rooted in passive patient dependence and symptom suppression. Instead, there is a growing recognition of the need to harnesses patients’ intrinsic biological and psychological capacities for recovery….