General practitioners’ decision-making strategies in the pharmacological treatment of musculoskeletal pain: A qualitative interview study

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Discussion

Qualitative analysis reveals prescribing tendencies and challenges faced by general practitioners in managing musculoskeletal pain.

GPs demonstrate cautious prescribing strategies, often opting for metamizole and NSAIDs over opioids.
Findings indicate that decision-making is guided primarily by guidelines like the WHO analgesic ladder and personal experience.
The study involved semi-structured interviews with 15 general practitioners, offering insights into their prescribing behaviors.
Challenges include addressing psychosomatic factors and aligning treatment expectations within the doctor-patient relationship.

Kornder et al. (2025) studied this question.

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