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International Olympic Committee consensus statement on pain management in elite athletes.

Abstract Pain is a common problem among elite athletes and is frequently associated with sport injury. Both pain and injury interfere with the performance of elite athletes. There are currently no evidence-based or consensus-based guidelines for the management of pain in elite athletes. Typically, pain management consists of the provision of analgesics, rest and physical therapy. More appropriately, a treatment strategy should address all contributors to pain including underlying pathophysiology, biomechanical abnormalities and psychosocial issues, and should employ therapies providing optimal benefit and minimal harm. To advance the development of a more standardised, evidence-informed approach to pain management in elite athletes, an IOC Consensus Group critically evaluated the current state of the science and practice of pain management in sport and prepared recommendations for a more unified approach to this important topic.
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Authors

Mayor MeshTerms
Keywords

Athlete

Consensus Statement

Drug Use

Ethics

Injury

Journal Title british journal of sports medicine
Publication Year Start




PMID- 28827314
OWN - NLM
STAT- MEDLINE
DA  - 20170822
DCOM- 20170824
LR  - 20170824
IS  - 1473-0480 (Electronic)
IS  - 0306-3674 (Linking)
VI  - 51
IP  - 17
DP  - 2017 Sep
TI  - International Olympic Committee consensus statement on pain management in elite
      athletes.
PG  - 1245-1258
LID - 10.1136/bjsports-2017-097884 [doi]
AB  - Pain is a common problem among elite athletes and is frequently associated with
      sport injury. Both pain and injury interfere with the performance of elite
      athletes. There are currently no evidence-based or consensus-based guidelines for
      the management of pain in elite athletes. Typically, pain management consists of 
      the provision of analgesics, rest and physical therapy. More appropriately, a
      treatment strategy should address all contributors to pain including underlying
      pathophysiology, biomechanical abnormalities and psychosocial issues, and should 
      employ therapies providing optimal benefit and minimal harm. To advance the
      development of a more standardised, evidence-informed approach to pain management
      in elite athletes, an IOC Consensus Group critically evaluated the current state 
      of the science and practice of pain management in sport and prepared
      recommendations for a more unified approach to this important topic.
CI  - (c) Article author(s) (or their employer(s) unless otherwise stated in the text
      of the article) 2017. All rights reserved. No commercial use is permitted unless 
      otherwise expressly granted.
FAU - Hainline, Brian
AU  - Hainline B
AD  - National Collegiate Athletic Association (NCAA), Indianapolis, Indiana, USA.
FAU - Derman, Wayne
AU  - Derman W
AD  - Stellenbosch University, Stellenbosch, South Africa.
FAU - Vernec, Alan
AU  - Vernec A
AD  - World Anti-Doping Agency, Montreal, Canada.
FAU - Budgett, Richard
AU  - Budgett R
AD  - International Olympic Committee, Lausanne, Switzerland.
FAU - Deie, Masataka
AU  - Deie M
AD  - Aichi Medical University, Nagakute, Japan.
FAU - Dvorak, Jiri
AU  - Dvorak J
AD  - Department of Neurology, Schulthess Clinic Zurich, Zurich, Switzerland.
FAU - Harle, Chris
AU  - Harle C
AD  - Department of Health Policy and Management, Indiana University, Indianapolis,
      Indiana, USA.
FAU - Herring, Stanley A
AU  - Herring SA
AD  - University of Washington, Seattle, Washington, USA.
FAU - McNamee, Mike
AU  - McNamee M
AD  - Swansea University, Swansea, UK.
FAU - Meeuwisse, Willem
AU  - Meeuwisse W
AD  - University of Calgary, Calgary, Canada.
FAU - Lorimer Moseley, G
AU  - Lorimer Moseley G
AD  - University of South Australia, Adelaide, South Australia.
FAU - Omololu, Bade
AU  - Omololu B
AD  - University of Ibadan College of Medicine, Ibadan, Nigeria.
FAU - Orchard, John
AU  - Orchard J
AD  - Cricket Australia, Melbourne, Australia.
FAU - Pipe, Andrew
AU  - Pipe A
AD  - University of Ottawa Heart Institute, Ottawa, Canada.
FAU - Pluim, Babette M
AU  - Pluim BM
AD  - Chief Medical Adviser, Koninklijke Nederlandse Lawn Tennis Bond (KNLTB),
      Amersfoort, The Netherlands.
FAU - Raeder, Johan
AU  - Raeder J
AD  - Oslo University, Oslo, Norway.
FAU - Siebert, Christian
AU  - Siebert C
AD  - Hanover Medical School, Hanover, Germany.
FAU - Stewart, Mike
AU  - Stewart M
AD  - East Kent Hospitals University NHS Foundation Trust, Canterbury, Great Britain.
FAU - Stuart, Mark
AU  - Stuart M
AD  - Mark Stuart, Bpharm FFRPS FRPharmS, BJM, London, UK.
FAU - Turner, Judith A
AU  - Turner JA
AD  - University of Washington, Seattle, Washington, USA.
FAU - Ware, Mark
AU  - Ware M
AD  - MBBS MRCP, McGill University Health Centre, Montreal, Canada.
FAU - Zideman, David
AU  - Zideman D
AD  - International Olympic Committee Medical and Scientific Games Group, Lausanne,
      Switzerland.
FAU - Engebretsen, Lars
AU  - Engebretsen L
AD  - International Olympic Committee, Lausanne, Switzerland.
LA  - eng
PT  - Journal Article
PL  - England
TA  - Br J Sports Med
JT  - British journal of sports medicine
JID - 0432520
RN  - 0 (Analgesics)
SB  - IM
MH  - Analgesics/standards/therapeutic use
MH  - Athletes
MH  - Athletic Injuries/*therapy
MH  - Consensus
MH  - Humans
MH  - Organizations
MH  - Pain Management/*methods/*standards
MH  - Practice Guidelines as Topic
MH  - Return to Sport
MH  - Sports Medicine/*standards
OTO - NOTNLM
OT  - Athlete
OT  - Consensus Statement
OT  - Drug Use
OT  - Ethics
OT  - Injury
COI - Competing interests: None declared.
EDAT- 2017/08/23 06:00
MHDA- 2017/08/25 06:00
CRDT- 2017/08/23 06:00
PHST- 2017/04/05 [received]
PHST- 2017/06/10 [revised]
PHST- 2017/06/26 [accepted]
AID - 51/17/1245 [pii]
AID - 10.1136/bjsports-2017-097884 [doi]
PST - ppublish
SO  - Br J Sports Med. 2017 Sep;51(17):1245-1258. doi: 10.1136/bjsports-2017-097884.