Archive for the ‘About Pain’ category

Modern Pain Management Techniques

June 19th, 2009
Dick Aronson asked:


Pain is a massive problem in our society, in fact it is estimated that at any given time, around one third of the population are in pain. Pain of any type is the most frequent reason for physician consultation. It is a major symptom in many medical conditions, significantly interfering with quality of life and general functioning.

Pain management is therefore an extremely important part of health care because people forced to continue living with extreme pain often become depressed and have poor treatment outcomes.

Some types of pain are still not really understood with as many as a third of cases having unknown origins.

Here are some of the things we do know:

* Pain is constant for about 20% of people.

* Back pain is the most common pain.

* Most chronic pain sufferers have had pain for at least 3 years.

* As can be expected, the incidence of pain increases with advancing age.

* Women report pain more often than men.

* Only 70% of sufferers look for professional help.

Pain Management

Modern pain management programs should be multidisciplinary combining the input of Medical practitioners, Acupuncturists, Physiotherapists, Chiropractors, Clinical psychologists and Occupational therapists, amongst others.

1. Narcotics are often prescribed for severe pain, but narcotics carry with them a potential for side effects and addiction, so patients and caregivers must weigh the level of pain against these dangers in the pain management process.

2. Numerous studies have found that certain complementary therapies are effective in pain management.

3. Massage therapy can hasten pain relief, soothe stiff sore muscles, and reduce inflammation and swelling.

4. Psychological pain management teaches people skills to cope with pain. Research has shown that having realistic, helpful thoughts is an important part of pain management.

5. Natural pain relief is a sought after alternative to medication and drugs based on chemicals and other synthetic medication. Herbs have been used for centuries for pain relief, but many have not undergone extensive study. Some allergic reactions might occur with some patients using natural pain relief, but these can be easily controlled or prevented by doing a skin test before using the natural pain relief.

6. One of the pain management modalities are trigger point injections and nerve blocks utilizing long acting anesthetics and small doses of steroids.

7. NSAID pain relief medication will not only relieve pain, but also reduce fever and inflammation. However there are real disadvantages associated with the long term use of these drugs.

8. Aspirins, Paracetamol, Ibuprofen are other common remedies used for the relief of acute pain.

9. Morphine is the major active substance in opium and a very potent pain relief medication. Morphine will act directly on the central nervous system and is commonly used as a pain relief medication for acute and severe pain caused by surgery or major trauma. Morphine is also used as a pain relief medication for moderate and severe chronic pain, such as pain caused by cancer.

10. TENS machines give short term pain relief to many people. These machines are fairly cumbersome but at least they do not have side effects.

11. Finally there is a new modality which has just been released on to the market and that is the rather unique pain patch which combines nano technology with crystals activated by body heat to produce an energy wave. The waves are transmitted to the origin of the pain where they produce an acupuncture effect which relieves pain.

There are reports of pain of 40 year duration being relieved instantly.



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Arthritis Pain and Joint Pain: Know your Pain Relief Options

June 6th, 2009
Antonio LeMaire asked:


The term “arthritis” refers generally to an inflammation of the joints and is typically associated with stiffness and joint pain. The different forms of arthritis vary in terms of cause, severity and potential pain relief treatments.

Management of arthritis pain depends not only upon the specific condition, but also upon your age, lifestyle, and unique response to different treatment methods.

Osteoarthritis and Rheumatoid Arthritis

The two most common forms of arthritis are osteoarthritis and rheumatoid arthritis. Together these conditions affect approximately 40 million people in the United States alone.

* Osteoarthritis is a degenerative condition involving deterioration of the cartilage in the joints, resulting in joint pain or stiffness.

* Rheumatoid arthritis is an inflammatory disease affecting the lining of the joints. While osteoarthritis is far more common, rheumatoid arthritis is often a much more severe form of the disease.

Before assessing your arthritis pain relief options, it is important to consult with a physician to determine whether you have arthritis, and if so, which type since treatment options differ.

Common Causes of Arthritis Pain

The joint pain associated with arthritis may be caused by a variety of factors. Most commonly, arthritis pain originates from:

* Inflammation of the tendons, ligaments or lining of the joints. This inflammation may be accompanied by swelling or redness, which results in joint pain.

* Joint tissue damage, which may be related to an injury or excess pressure on the joints.

* Fatigue, which is sometimes a result of arthritis and can make the joint pain seem more intense and the condition more difficult to cope with.

Arthritis Pain Treatment Options

There are a variety of ways to treat arthritis pain and other joint pain. It’s essential to be aware that people respond differently to different treatments. An individual’s response to pain and pain relief treatments is affected by the particular disease or condition he/she suffers from, the severity of the pain, and a range of psychological and emotional factors.

Short Term Pain Relief

One of the most important considerations when evaluating arthritis pain relief treatment options is to be clear about whether you are focusing on short or long term pain relief.

For short term relief from arthritis pain, many people use hot or cold therapy, depending on the type of pain and the specific condition. Cold therapy in the form of an ice pack can sometimes provide pain relief by reducing swelling, but may not be a good option for patients with poor circulation. Heat therapy, either moist or dry, acts as a muscle relaxant, and can also provide short term pain relief.

Certain drugs can also give quick, short term relief from the joint pain associated with arthritis. Depending on the amount of inflammation, doctors will often recommend a pain relief medication such as acetaminophen or a non-steroidal anti-inflammatory drug (NSAID) like aspirin or ibuprofen.

Another non-drug alternative that provides some patients with short term relief from arthritis pain is TENS, or transcutaneous electrical nerve stimulation. A TENS unit delivers electrical pulses to nerves in the affected area. The pulses block pain messages that the nerves would normally deliver to the brain, thereby bringing pain relief to the patient.

TENS therapy may also raise the level of endorphins produced by the brain. Endorphins are substances that are produced naturally in the body and contribute to feelings of well-being and pain relief.

Long Term Pain Relief

Because both rheumatoid arthritis and osteoarthritis are chronic conditions, sufferers often need to look for long term options to deal with their joint pain.

Drugs such as NSAIDs provide some level of pain relief. In the case of rheumatoid arthritis, disease-modifying antirheumatic drugs (DMARDs) target the immune system and are helpful for some patients. Corticosteroids are hormones that are sometimes prescribed for treatment of the joint pain and inflammation that typically accompany arthritis.

For many people with arthritis pain, exercise and physical therapy can help reduce stiffness and joint pain. Depending on the severity of the condition, walking, swimming, and a variety of strengthening and/or aerobic activities may be helpful, not only in pain relief but also from the standpoint of improving patients’ self-confidence and psychological and emotional well-being.

Overweight people suffering from arthritis pain are frequently advised to lose weight, since additional weight places an added burden on the joints.

In a small minority of cases, medication and lifestyle changes do not provide the desired pain relief and doctors may recommend surgery. Surgical procedures can remove tissue within the joint, or else realign or replace the joint.



Pain

Chest Pains – Signal Of Heart Failure?

May 19th, 2009
Anna Hart asked:


Is ongoing chest pain a sign of heart failure? Chest pains of any type can be frightening. You may think you are having a heart attack. The thought that it might be heart attack can increase chest pains. You should see a doctor immediately to be sure.

Supposing, though, that you have seen a doctor about your ongoing chest pain. You were not having a heart attack. Your doctor sent you home, but the chest pains continue to come and go.



Is ongoing chest pain a sign of heart failure that the doctor might miss?

Possible Reasons for Ongoing Chest Pains

Chest pains are often, but not always heart related. The nerves flowing from the spinal column can echo pain, making us think one part of the body hurts when the problem is actually in another part. Once we are convinced that chest pains relate to the heart, it can be difficult to find the true source of the problem. Physicians are frequently faced with this dilemma. The chest pain is not “all in your head”. It is real pain. It may not relate to the heart, however, no matter how much your head tells you it does.

We do not have space here to list every cause of chest pain, but we can give examples. Assuming you have already undergone physical examination for your chest pains, consider the following. You will want to discuss your chest pain with a qualified, licensed physician.

* Anxiety: Chest pains often are caused by anxiety. Your body responds to stressors by preparing for fight or flight. However, you do neither. Instead, you continue the anxious state of preparation. Your body continues to pour forth chemicals to help you fight or flee. This process can trigger ongoing chest pain. If this is true in your case, the ongoing chest pain is not a sign of heart failure. It is your body’s warning that you need to reduce anxiety.

* Angina pectoris: Chest pains may indicate blocked arteries. Do you get the chest pains when you engage in physical activities, try to handle emotional stress, or endure extreme temperatures? Do the chest pains feel like pressure under the breastbone? If so, ask your doctor to check for angina.

* Costochondritis: This cause of chest pains is really an inflammation of the joints in your chest. Inflammation where ribs and breastbone connect may cause chest pain along the edges of your breastbone. Your pain may get worse when you cough or take a deep breath. An anti-inflammatory medicine or heat may relieve the pain. This problem usually goes away on its own. Ask your doctor about it.

* Periconditis: Chest pains may also be caused by another type of inflammation – inflammation of the heart lining.

* Musculoskeletal: Ongoing chest pain may be a matter of muscle strain. Perhaps you twisted or lifted in such a way as to pull a chest muscle. This type of ongoing chest pain hurts when you touch the chest.

* Gall Bladder: A gall bladder attack can cause excruciating chest pain. This can stop and start many times. It is related to eating, however, and not to the heart.

* Acid reflux: A common cause of ongoing chest pain is acid reflux, GERD, or heartburn. This feels like the heart is in pain. It can come and go frequently. Ask your doctor if your ongoing chest pain may be related to your digestive system.

Make the Connection

Is your ongoing chest pain a sign of heart failure? It might be – if you have other symptoms of heart failure. Do you have trouble breathing? Do you become uncomfortable when lying flat because you feel short of breath? Are your legs and arms swollen with excess fluid? Have you gained weight from water retention? Do you feel like you have indigestion, and you would rather not eat because of it?

With your ongoing chest pain, do you feel tired, weak, and not able to do the physical things you usually do? Are you restless and confused? Does it seem that your attention span has grown shorter and your memory is failing?

These are some, but not all, of the symptoms that accompany chest pain if you are experiencing heart failure.

Helpful Tip

Your doctor will probably be able to make a tentative diagnosis of heart failure if you have swelling and are short of breath. He or she will listen to your chest, tap the chest, and even take a chest X-ray. If your doctor suspects heart failure, other tests will be ordered.

Many therapies can help ease your heart’s workload. If your chest pains are caused by heart failure, your physician can help.

CAUTION: The information presented here is for general educational purposes only. It is not a substitute for medical advice. You should not rely on this information to make health decisions. Consult your family doctor about your personal condition.



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