Myth one, “pain is a symptom, not a disease, the disease is well natural pain” In the long process of development of medicine, the understanding of many diseases gradually deepened, many diseases were first only as a symptom, do not get effective attention and diagnosis and treatment, with the deepening of the research, only to be recognized as a disease, so as to improve the diagnosis and treatment level of these diseases. With the deepening of research, many diseases are recognized as diseases, thus improving the diagnosis and treatment of these diseases. The understanding of pain diseases is in such a deepening process of understanding that the difference between symptoms and diseases is relative, and when a chronic clinical symptom seriously threatens the patient’s quality of life and ability to work for a long period of time, or even leads to the patient’s suicide, then it should be recognized as a disease. For example, in primary trigeminal neuralgia, patients have no other manifestations except pain, and most of them suffer from pain, and their quality of life and ability to work are significantly reduced, so primary trigeminal neuralgia should be a typical pain disorder. This disease has only pain, and when the pain is eliminated, the disease is cured. Another example, postherpetic neuralgia is also a painful disease, the disease is the result of herpes zoster virus damage to the nerves, the pain is severe and stubborn, some patients continue to large decades, patient suicides occur from time to time. Typical pain disorders also include phantom limb pain and stump neuralgia after cutoff, post-traumatic injury neuropathic pain, post paraplegic neuralgia, post-stroke neuralgia, central neuralgia, thrombo-occlusive vasculitis, migraine, tension headache, cervicogenic headache, menstrual cramps, intervertebral discogenic pain, chronic low back pain, etc. These pain disorders have been reported in various clinical departments. These pain diseases have long been described as diseases in the textbooks of various clinical disciplines, only that some physicians still believe that “all pain is a clinical symptom of disease, and the pain is gone when the disease is cured,” and do not give due attention to it. Some pain is indeed one of the clinical symptoms of certain diseases, for example, headache secondary to hypertension, headache during colds, abdominal pain during acute abdomen, surgical incision pain, labor pain, etc., which should not be treated as a painful disease, but we should not deny painful diseases just because of the existence of these symptomatic pains. In clinical practice, it should be noted that sometimes mild pain is an early manifestation of a painful disease, and can develop into a serious chronic painful disease if not handled properly. For example, neuralgia caused by intercostal nerve injury after open heart surgery can develop into severe neurogenic pain if not treated early and in time. In clinical work, it is important to clarify which pain belongs to symptoms and which pain belongs to painful diseases. Myth two, “back pain endure, anyway, can not be cured” In real life, due to long-term suffering from chronic pain so as to lead to all kinds of diseases, and even lightening of life is not uncommon, “endure, do not need to specialize in the treatment”, is a very old, and very harmful! The concept of “tolerate, do not need to specialize in treatment” is a very old and very harmful. Timely diagnosis and treatment of pain, effective pain control, is an important element of life health. The development of science has led to an increase in the number of pain treatment methods, from simple drug therapy, nerve block gradually developed into a multidisciplinary integrated treatment. After the standardized treatment by pain management specialists, it can be considered that 95% of chronic pain can be treated satisfactorily. With the development of the economy, the improvement of living standards, with pain to take active treatment is the best policy, delayed treatment often makes acute pain into chronic pain. In recent years, neurobiological studies have shown that the long-term presence of pain stimuli can be a direct loss of the nervous system, the formation of chronic neurogenic pain, which is the main pathogenesis of chronic pain disorders. Long-standing painful stimuli can contribute to increased nerve cell excitability, sensitization of spinal cord dorsal horn neurons, increased spinal cord inhibition, decreased function of spinal cord inhibitory interneurons, as well as germination of afferent spinal cord Aβ fibers and sensitization of brain centers. These findings remind us that neuronal pain should be treated as early as possible to prevent further damage to the nervous system. Myth 3: “Pain medicine only ‘treats’ pain, but delays the condition instead” Pain medicine, under the guidance of modern pain theory, carries out a new mode of comprehensive analysis and judgment and treatment of painful diseases and difficult pain problems encountered in clinical medicine, so that Many pain diseases that are difficult to control have been perfectly treated. For example, when facing a patient with trigeminal neuralgia, in addition to a thorough understanding of the medical history and clinical manifestations, the superficial sensory and muscular changes of the face will be carefully examined in order to eliminate secondary trigeminal neuralgia. Trigeminal sensory and motor conduction velocities, electromyography and evoked potentials will also be examined to assess the electrophysiologic function of the trigeminal nerve. Before primary trigeminal neuralgia can be confirmed, an MRI is needed to check for vascular or tumor compression around the trigeminal nerve root. For head and face pain, cervical spondylosis, frozen shoulder, intervertebral disc lesion, lumbar back and lower limb pain and other common chronic pain diseases, the use of nerve block, nerve stimulation, medication and other integrated therapies can effectively improve the pain of the local blood circulation disorders, clear inflammatory metabolites, interrupt the vicious cycle of pain, so as to achieve the “symptomatic and fundamental” analgesic effect. It can effectively improve the local blood circulation obstruction of pain, clear the inflammation metabolism products, interrupt the vicious circle of pain, so as to achieve “both the symptom and the root cause” of analgesic effect. For intractable neurogenic pain such as herpes zoster and its postherpetic neuralgia, trigeminal neuralgia, phantom limb pain, burning pain and other intractable neurogenic pains, the application of specific nerve blocking technology and electrical modulation of the nerve stimulation, etc., through the blocking of sensory conduction pathways, improving the state of nerve nutrition, adjusting the conduction function of the general, and achieved satisfactory pain treatment results. For cancer pain, combining with the patient’s physical condition and pain site, we apply the latest foreign cancer pain control methods to selectively block or destroy the pain-conducting nerves, so that a single treatment can achieve perfect medium- and long-term analgesic effects. Myth 4: “It is not good to use hormone in treating pain” In the treatment of some aseptic inflammation, it is sometimes necessary to use a small dose of hormone components, but the dosage form used in pain treatment is a suspension, which is mainly used for local action, and the dosage is strictly mastered, and it doesn’t have any systemic effect on normal people, and it is not related to the systemic (oral, intra-venous) application of large doses of hormone components. The systemic (oral, intramuscular or intravenous) application of large doses is completely different. Myth five, “pain is playing closed” closed therapy originated in the former Soviet Union and the United Kingdom, also known as Procaine closed therapy, is injected with Procaine in the human body’s local pain points, in order to block the abnormal stimulation of the lesion site to the brain conduction. Many doctors who do not specialize in pain management, and even some nursing staff, due to a lack of systematic knowledge and training, are keen to inject a variety of drugs into pain points, acupuncture points or nerve endings to relieve pain, and they call themselves “closure therapy”. Although it can sometimes relieve the pain of some patients, but also issued on many complications and medical disputes, so that some patients and some medical personnel on the formal “nerve block” also have misunderstandings, and even have fear of psychology. The treatment of pain department is characterized by nerve block and interventional therapy, adopting comprehensive treatment method to eliminate pain quickly and completely and improve the quality of life of patients.