Although most people have experienced pain, the lack of awareness and attention to the dangers of pain has led to many misconceptions about pain over time. Do you know what pain is? Do you know what the role and significance of pain rehabilitation is? Pain is the earliest and most experienced subjective sensation in a person’s life, and is the main signal of damage to human tissues and organs. It serves as a protective signal to avoid danger or go to the doctor. For chronic pain that is still tolerable, many people do not take it seriously and tolerate it as long as they can. In fact, pain is divided into acute pain and chronic pain. Acute pain is divided into somatic, visceral and neuropathic pain, while chronic pain is mainly manifested as a triad of symptoms, namely pain, sleep and mood. Pain can lead to dysfunction of various systems in the human body and a decrease in immunity. It can also cause various adverse emotions and affect sleep, which can seriously affect the quality of life of patients and even greatly shorten their life expectancy. For example, in primary trigeminal neuralgia, patients have no other manifestations except pain, and most of them are in pain, and their quality of life and working ability are significantly reduced, so primary trigeminal neuralgia should be a typical painful disease. This disease has only pain, and the disease is cured when the pain is eliminated. These are painful diseases Typical painful diseases also include postherpetic neuralgia, phantom limb pain and stump neuralgia after amputation, injurious neuropathic pain after trauma, post-paraplegic neuralgia, post-stroke neuralgia, central neuralgia, thrombo-occlusive vasculitis, migraine, myotonic headache, cervicogenic headache, dysmenorrhea, discogenic pain, chronic low back pain, etc. These pains are symptoms Some pains are indeed one of the clinical symptoms of certain diseases, for example, headache secondary to hypertension, headache in case of cold, abdominal pain in case of acute abdomen, surgical incision pain, labor pain, etc., which should not be treated as painful diseases. However, the presence of these symptomatic pains should not be used to deny painful diseases. Sometimes minor pains are early manifestations of painful diseases and can develop into serious chronic painful diseases if not treated properly. It is important to clarify which pain is a symptom and which pain is a painful disease for the rehabilitation and treatment of pain. The second misconception is that low back pain can be tolerated, and it is good to take it easy. In reality, it is not uncommon for patients to suffer from chronic pain for a long time, resulting in a hundred illnesses and even lightness of life. It is a very old and harmful misconception to “put up with it, no need to specifically treat it”. Timely diagnosis and treatment of pain and effective pain control is an important element of a healthy life. The development of rehabilitation medicine has led to an increasing number of pain treatment methods, from simple physical therapy, nerve block interventional techniques, and gradually developed to multidisciplinary integrated treatment. After the standard treatment of pain rehabilitation teachers, at present, more than 95% of chronic pain can get satisfactory treatment results. With pain to take an active treatment attitude is the best policy, delayed treatment often makes the acute pain into chronic pain. Many people think that the treatment of the rehabilitation department only “stop pain”, but will delay the condition, after the emergence of some pain symptoms have run to the emergency department, orthopedics and other departments. The Department of Rehabilitation, under the guidance of modern pain theory, provides a new mode of comprehensive analysis and treatment for painful diseases and difficult pain problems, and has perfected the treatment of many painful diseases that are difficult to control. So to speak, rehabilitation department not only stops pain, but also can treat pain! Modern rehabilitation medicine believes that all theories and methods that can relieve the dysfunction of the body during the development of clinical diseases are related to rehabilitation, and are all components of rehabilitation medicine. Therefore, pain rehabilitation is a treatment and rehabilitation specialty for relieving pain symptoms and pain disorders, and is an important part of modern rehabilitation medicine. So, if you have pain in your body that has been untreated for a long time, try the rehabilitation department! Pain rehabilitation treatment I. Rehabilitation assessment The rehabilitation assessment of pain should be started before treatment, and throughout the treatment process, and continue after treatment. Medication is the most basic and commonly used method of pain treatment, commonly used drugs include analgesics, sedatives, antispasmodics, hormones, vasoactive drugs and herbal medicines. Analgesics mainly act on the central nervous system and are drugs that selectively inhibit nociception. 2.Physical therapy Electrotherapy: through the physiological and biochemical effects of nerves, body fluids and endocrine, it can accelerate the discharge of pain-causing substances and pain-causing pathological metabolites, improve the local metabolism and internal environment, and play an analgesic effect. There are transcutaneous electrical nerve stimulation and transcutaneous cremasteric electrical stimulation and cremasteric stimulation analgesia, and other electrical stimulation therapies such as intermittent electricity, interferential electricity and induction electricity. Transcutaneous electrical nerve stimulation means applying low-frequency pulsed current of certain frequency and certain wave width to the body surface to stimulate the sensory nerves and achieve the purpose of analgesia. The current frequency, wave width and treatment time are selected according to the treatment needs, generally 20-60 minutes, 1-3 times a day, and can be treated continuously for a longer period of time; transcutaneous crestal electrical stimulation is a method of electrode stimulation outside the corresponding crestal medulla, applying high frequency and short time stimulation to saturate the upstream nerve conduction pathway and make it difficult to feel pain. Cold therapy: Cold therapy reduces muscle tone and slows nerve conduction within the muscle, thereby reducing muscle spasm caused by the primary osteoarthritic lesion. The application of cold therapy after surgery, especially orthopedic surgery, can help relieve pain. Headache, toothache, mild burns, and early external upper ankylitis can all be treated with cold therapy to relieve pain. Heat therapy: Heat therapy can raise the pain threshold, make the muscle shuttle excitability decrease, lead to muscle relaxation and reduce muscle spasm, also can promote vasodilation, increase blood circulation, reduce congestion in the affected area, promote inflammation absorption, and the temperature receptors of the skin are stimulated, which can inhibit the pain reflex. For pain caused by muscle, joint and soft tissue lesions, heat therapy can produce a good therapeutic response, degenerative joint lesions or disc lesions caused by back pain, painful arthritis and myofasciitis and other skeletal muscle disorders, heat therapy is effective. Exercise therapy: exercise therapy is very effective for pain relief because regular muscle movement can activate the beta-endorphin system that inhibits pain and reduces pain, and targeted exercise can also improve muscle strength, strengthen joint stability and prevent pain. 3.Nerve block therapy Nerve block therapy can block the nerve conduction pathway of nociception, block the vicious cycle of pain, improve blood circulation and anti-inflammation, so as to achieve the effect of analgesia. The site of nerve block therapy injection depends on the nature of different diseases, there are peripheral nerve, central nerve and autonomic nerve, the most commonly used is peripheral nerve. 4.Psychological support Chronic pain patients are often accompanied by anxiety and depression, and should be helped to maintain a good mood during the disease process, correctly understand their condition, and actively cooperate with the treatment. Patients can be taught some relaxation methods and increase their activities to reduce the pressure of pain. 5. Health education Health education has a very important role in rehabilitation treatment. Patients should know what they can and should not do, and understand that moderate exercise is beneficial to the body. For example, patients with low back pain need to know how to bend, how to lift heavy objects, and how to sit and stand without aggravating the pain. In conclusion: pain rehabilitation is not only a medical act, but also a social and public act. As people’s demand for pain rehabilitation increases and pain rehabilitation treatment methods and techniques are improving, pain rehabilitation medicine will continue to develop and progress.