Pain Management

Experiment With Opioid Pain Killers Failed

Opioid (narcotic) medications for pain relief have been in the center of an ongoing controversy for years now. Yes, they provide pain relief for pain sufferers. But they are potentially addictive. And one of the most severe adverse side effects is death from unintentional overdose.




I work as a nurse in a day-surgery clinic. People come in for all kinds of procedures that don't require an overnight stay. I don't ever see them afterwards. But I wonder about some of them and how they do in their recovery process. Is there any data that shows whether the patients who are so fearful recover more slowly than the easy-going patients?

Fearful patients may engage in behavior called catastrophizing. This refers to a person who feels helpless and tends to think the worst when in pain. They seem unable to cope, and they focus on their symptoms in detail.




I have a friend who is still complaining about her pain and various other symptoms after a surgery that took place four years ago. In fact, today is the four-year "anniversary" date. I think it's weird to have a surgery anniversary date. But to stay focused on these symptoms day in and day out especially seems out of line? Am I right or wrong?

What you are describing is a situation where pain and other symptoms last beyond the expected time for healing. After four years, it's safe to say this kind of clinical presentation can be labeled as chronic pain.




I can't seem to get any help for a nagging case of low back pain. Most of the people I have seen didn't seem to even care that I'm in pain. No one even asks me how I feel anymore. I don't know what to do. Should I say something?

Patient-centered pain management is an important part of every health care professional's working day. Dentists, doctors, nurses, physical and occupational therapists, and pharmacists address patient concerns about pain each and every day.




Pain and Inflammation May Be Linked

In the last 10 years, experts have identified one factor that might predict who will end up with chronic pain. It's a concept called catastrophizing. A catastrophizer is a person who feels helpless and tends to think the worst when in pain. They seem unable to cope, and they focus on their symptoms in detail. This may be the first study to show a link between pain and inflammation, which may explain what's happening at a physiologic level to explain the catastrophizing-pain response.




Preparing Healthcare Professionals for Patient Pain Management

Patient-centered pain management is an important part of every health care professional's working day. Dentists, doctors, nurses, physical and occupational therapists, and pharmacists address patient concerns about pain each and every day. In this article, faculty from the University of Toronto (Canada) present the Interfaculty Pain Curriculum (IPC) that they developed to help students in these six disciplines prepare for this part of their clinical practice.




Why do we have pain?

Although doctors don't quite understand the mechanism of pain, they do know that it is a protective thing. By feeling pain, you will protect yourself from what is causing it, whether it be a hot stove, stepping on glass, or getting blisters on your feet.




I read of a girl that doesn't feel pain and it seemed like they (her parents) weren't happy about it. Wouldn't life be so much easier if we didn't feel pain?

While it may seem ideal to not feel any pain, we need pain in order to survive. Pain is a warning signal and a danger signal. As you approach fire, you may end up burning your hand if you get too close. If you don't feel the burn, it's possible that it is a severe burn and then this burn can become infected, causing much worse problems and perhaps even death.




My mother started taking an antidepressant for her pain. Regular pain killers didn't work. This one's not working either. What if the doctor gave both?

Many people with chronic pain do well with certain types of antidepressant medications. That being said, not all chronic pain can be treated in this way. There are also a few different types of antidepressants that work so it may be helpful if your mother asked if there could be another one to try.




Why is it that studies often seem to contradict each other?

When reading the newspaper, browsing the Internet, or watching the news, we are often told about a new study that found X,Y and Z. A while later, it seems that another story is saying the opposite and that the second group of researchers really found A, B, and C instead.





*Disclaimer:*The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic.
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