Abstract
A Community Survey of Musculoskeletal Pain and Management In Namphong District, Khon Kaen ProvinceObjective: Studying of incidence and cause of muscleskeletal pain and epidermiologic of Ya-chud in Namphong district, Khon Kaen Province.Study design: Descriptive survey studyLocation of study: Rural community in Namphong district, Khon Kaen Province.Sample Population:Distributor of Ya-chud in 12 villages of Namphong district which simple random sampling amount 86 distributors.Population in Namphong district,who age over 15 years-old,lived in the villages amount 685 persons which clustur random sampling.Methadology:Surrogate survey and open survey on distributors in the villages. Analyted component of Ya-chud and compared between two-way.Interviewed sample population in musculoskeletal pain and self-care,then examination in sample who had musculoskeletal pain recently on 7 days before interviews to diagnosis caused of musculoskeletal pain by American Rheumatism Association.Result: Groseries in rural villages had Ya-chud and surrogate survey had directed sale Ya-chud amount 18. Total Ya-chud which surveyed have 51 types. Analytical component in each type,10% had corticosteroid only,16% had NSAIDs only,71% have corticosteroid plus NSAIDs. Corticosteroid had dexamethasone since 1 to 3 tablets in each set. Almost NSAIDs had indomethacine and/or phenylbutazone. 74% of population used to musculoskeletal pain; 43% had pain recently 7 days before interviewed. Cause of musculoskeletal pain refered from work.Examination in patient who had pain recently amount 264;54% is LBP, 25% is soft- tissue rheumatism,17% is myofacial pain syndrome,17% is peripheral osteotitis,prolong treatment is 9%. Caused of LBP from back muscle strian and L-spondylosisInterviewed on population who had musculoskeletal pain 508 and 58% used to use Ya-chud for pain when they had pain syndrome; 12.5% used to use Ya-chud and ¼ used every day. 95% of population had known side effect from health worker and advertising ,68% used to treatment when they had pain syndrome and 33% choose to used Ya-chud because of convenient and low price. Impact of decision to treated from experience and household.Excepted Ya-chud they had massage and hot compress.Health facility has popular too; 6.7% choose to go to health center because nearly house.Conclusion and dissicustion :Ya-chud had dangerous component and community problem ;they had distributed in general of rural community of Thailand. Population bought freedom from groserlies, although they known side effect from Ya-chud. Musculoskeletal had refered from work and short-course therapy. Chronic rheumatism disease which prolong treatement had few in community. When they had pain symtom,they choose to low cost treatment, comfortable and related daily life. Solved of Ya-chud is present convenience treatment , low price ad effectiveness, such as massage, compress and develop health worker of health center to treat simple musculoskeletal diseases in community.
