Question 1: Do you know the Chronic Pain Relationship Network?
A: Treating the disease of pain is not the end point; it is the physician’s responsibility to evaluate the patient for personality, psychological, and cultural factors to improve mood, increase pain threshold, and restore function. Any patient with chronic pain should be seen early in the pain clinic, especially if the diagnosis is unknown, function is severely limited, mood swings are evident, and medication is ineffective.
Question 2: Is injection therapy at the lesion site closed?
A: Injectable therapy is often used in pain treatment clinics. This method is “with the most needed drugs, the most direct method, very accurate to the most needed place (lesion)”, is a treatment of fast results, high efficacy, the number of patients to the hospital less method.
There are the following differences with local closure.
① different requirements for doctors: local closure is “where the pain where to hit”, any physician can do; while injection therapy must test the diagnostic ability of physicians, to clearly diagnose, identify the site and nature of the lesion, the exact treatment effect;
② use of local anesthetic concentration is different: local closure using a higher concentration of local anesthetic to block the role of conduction pain, while injection therapy only uses the above-mentioned local anesthetic concentration of 1/3-1/4, but practice has proved equally effective;
③The dose used is different, local closure is generally 20-100 ml, while local injection is generally 3-10 ml;
④There are significant advances in the drugs available; such as vitamins for nerve nutrition are activated adenosine cobalamin, hormones are small molecules easily absorbed and affect the HPA axis small.
Question 3: Besides pain relief, what else can you give me?
A: 1. Mr. Zhao always felt pain in his back and legs in the past few days, but he could not tell the specific part of the pain, so he went to the hospital, and he did not know which department to register. This has happened to many people, “What else can you give me besides pain relief?” There are only simple and vague symptoms and it is impossible to identify what kind of specialty should be chosen to seek medical treatment.
Small pain department to see, big pain which department does not care …… This is the embarrassing situation that many patients suffering from pain often face;
2, many pain patients to the hospital departments, scattered to different departments, and each department has its own unique disease and treatment plan, such as orthopedics mainly take surgical treatment, rehabilitation medicine department is based on manipulation, physical methods, but the mechanism of chronic pain is exceptionally complex, diagnosis and treatment difficulties, so a single means is often difficult to achieve satisfactory results. Pain patients spend a lot of time and energy in the process of consultation, but they still have no access to medical treatment;
3. In the past, the pain treatment mode of different clinical specialties, which was piecemeal and purely passive, was far from being able to meet the clinical needs. In this context, a new discipline of pain medicine was born and has achieved rapid development. Under the guidance of the modern pain theory, the pain department has been able to provide comprehensive analysis and treatment for painful diseases and difficult pain problems encountered in clinical medicine, so that many painful diseases that are difficult to control can be treated perfectly;
4.Pain often coexists with other diseases or can appear alone, pain problems need to be treated with professional attitude and managed with professional means. Since doctors from other disciplines have their own specialty, only pain specialists devote all their energy to pain diagnosis and treatment, making the treatment and research of painful diseases specialized, which is conducive to the early diagnosis of pain and etiological pathology diagnosis, as well as the diversification of treatment methods.
The pain department brings together a group of professional pain doctors, and integrates the knowledge of each department and the most advanced treatment methods in the international arena, so that patients can take fewer detours, shorten the treatment time and reduce medical costs, and also provides detailed scientific information and professional consultation for pain patients, and provides pain health management services for each patient.
5. With the development of pain treatment tools, proper application of existing pharmacological and non-pharmacological therapies can lead to effective relief of 90-95% of pain.
Question 4: Do you know that there are good pain and bad pain?
A: Physiologically, there are two types of pain, one is acute pain, nicknamed good pain, because it tells you that something is wrong here and needs to be treated, prompting you to go to the doctor and help the doctor diagnose the disease. This process has a protective effect on the organism and should not lead to analgesia by the way. But when it comes to chronic pain, it is called bad pain, because it is already known that this pain is unbearable to us, and long-term chronic pain can often make the patient suffer from pain and mental breakdown, and become the cause of illness, disability and death (see question 1 for details).
Chronic pain needs to be treated by a specialist, which is a pain doctor. Mild pain is seen by all disciplines, and persistent pain is not cared for by any discipline, as there is no capacity and energy to treat persistent pain. Now we have to change this concept. If you have pain, don’t put up with it, but see a doctor in time. Generally, doctors should see pain doctors for intractable pain, they are the most experienced ones.
Question 5: What can you do in the face of lower back pain?
A: Lower back pain refers to the pain in the back below the lowermost edge of the rib cage, often refers to waist, hip and leg pain, 80% of adults have experienced back pain.
1.When back pain starts, use ice pack to reduce pain and swelling, use it for 10-15 minutes every hour. 24 hours later, use hot pack or hot towel or take a hot bath. Heat can promote blood flow and bring healing white blood cells to the affected area;
2. Lie flat on the floor with your knees bent and place your calves on a chair or a stack of pillows when the pain is severe, this will level out your lower back and ease the twisting tension in your back;
3, when the lower back pain, sitting will be very hard. Do not sit in a chair that is too soft, and we recommend that you use a straight-backed stick, do not sit for long periods of time, and do not sit in bed;
4.Without making the pain worse, walk more often;
5.If the pain affects your sleep, put some pillows under your knee when you lie on your back;
6.If you sleep on your side, bend your knees and put a pillow between your legs, do not lie prone;
7.Use painkillers such as Estradine, Fotarine, Celecoxib, etc;
8, find out what makes you tense, and avoid this situation;
9. Learn relaxation methods that may help reduce pain.