Musculo Skeletal Pain

When considering Chinese medicine most people bring to mind a diversity of definitions and concepts that are included in the practise. Giving him or her a specific, customized written prescription for an improved health behavior is much more likely to achieve real lifestyle change (see table 2). Lifestyle prescriptions must take into account each patient's circumstances and, ideally, should include each element of a SMART objective (i.e., be specific, measurable, attainable, realistic, time-specific).
In practical terms, Lifestyle Medicine involves a range of professionals working together to address physical inactivity, poor diet or nutrition, smoking, alcohol overconsumption, chronic stress, anxiety, poor or inadequate sleep, social isolation, loss of culture and identity, and other influences of society and environment.



In 2010, Lianov and Johnson 3 published an article in the Journal of the American Medical Association that strongly advocated physician education and training in purpose: Physician educators at both the undergraduate and graduate medical education levels should consider incorporating the relevant lifestyle medicine competencies into education and training programs.” The need for education in lifestyle medicine is so profound that prominent universities like Harvard, Stanford, and Yale have implemented the inclusion of lifestyle medicine into their curriculum, ranging from postgraduate courses to the development of separate institutes devoted to the cause.

Personalized lifestyle medicine encompasses a broad array of disciplines in order to effectively prevent and treat disease, including the interface of technological advances with modern medicine discoveries for eventual dissemination into clinical medicine approaches.
The competence and confidence to diagnose and change unhealthy behaviour is lacking 29 We must improve education and training in the treatment and prevention of lifestyle‐related diseases 30 There needs to be changes in attitudes and perspectives such that practitioners understand therapeutic lifestyle changes to be the most scientifically valid, clinically effective and achievable treatment possible for most common conditions (LRDs) 31 Practitioners need to be taught how to base even 5 to 10 min on lifestyle medicine principles 30 , while we work collectively to establish better delivery mechanisms that reflect the evidence demonstrating more contact time is more effective at producing meaningful lifestyle changes.

In 2009 the American College of Preventive Medicine hosted a blue ribbon panel meeting to establish core competencies in lifestyle medicine for primary care physicians (see table 1) 2. When patient care is approached from this foundation, it looks far different than what is being taught in typical medical school and residency curricula.
Because stress reactions are so closely related to sleep patterns, lifestyle prescriptions for increased meditation and relaxation techniques are the initial treatment of choice for insomnia.58 Incorporation of rest and renewal into a patient's daily life frequently requires an understanding of a patient's spiritual resources and perspective on life.

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