Welcome to our 5th Issue of the Clinical Journal of Sport Medicine in 2018.
This month, we are pleased to bring you a new Thematic Issue of the Journal on the important topic of pain management of the athlete. Our Guest Editor this month is Professor Wayne Derman who is Director and Chair of the Institute of Sport and Exercise Medicine at the Division of Orthopaedic Surgery, Stellenbosch University, Cape Town, South Africa.
Pain is one of the most common presenting complaints encountered by clinicians in all areas of medicine, yet is still one of the most challenging issues to manage with so many factors involved in the presentation, etiology, management and clinical course of pain-related conditions.
Amongst sporting communities, the maxim 'no pain no gain' is often heard such that a certain degree of pain experienced by the athlete may be considered to be normal. However, it is perhaps difficult to conceptualize the meaning of what is 'normal' amongst these populations in terms of pain symptoms, and to understand to what extent a degree of pain may be acceptable to the athlete both without causing a significant limitation to performance, or potentially leading to the adverse health-related outcomes seen in athletes with chronic disorders such as osteoarthritis.
In order for clinicians to effectively assess and manage conditions associated with pain, it is clear that a broad, holistic approach is required. The bio-psycho-social model is one framework which may be useful in this context.
The articles in this month's Issue focus on a wide range of themes related to the assessment and management of pain in the athlete, ranging from a Systemic Review of Analgesic Management in Elite Athletes, through General Reviews on the use of injectable Non-steroidal Anti-inflammatory drugs and injectable Corticosteroids in Sport, and concluding with a paper identifying knowledge gaps and suggesting future research directions in this field of work.
We hope that you find this collection of articles of special interest, and of use in your every-day clinical practice.
Let us know what you think of them.
We hope that you enjoy this Thematic issue as much as we did putting it together.
Special thanks to Professor Derman, and to all of our contributors this Issue.
Christopher Hughes MBBS MSc