Explaining the misconceptions of pain management

  In our daily life, we often hear older people sigh that they are not useful when they are older and their whole body hurts everywhere. Is there any way to prevent and treat these pains? In fact, pain management has been popular in the United States for decades, but in China, people don’t recognize the name “pain management”. Today, large hospitals in China have established pain clinics to provide pain management.  Today, pain treatment has formed a mature professional system, where anesthesiologists use their unique expertise and theories to administer special treatments to various types of pain, so that drugs can be applied directly to the lesion, which can achieve curative effects that cannot be achieved by general treatment, and can effectively reduce the adverse effects of drugs. The pain clinic in our city mainly carries out the treatment of common pain and non-painful diseases. Patients are mostly suffering from herniated disc, chronic lumbar and leg pain, cervical spondylosis, frozen shoulder and other conditions, and many of them come to the pain clinic only after bouncing from several departments.  In fact, the pain clinic should be the first place you think of when you have pain in your body. Pain is an unpleasant sensation and a symptom and message of disease and trauma. Pain sensation and pain response are inevitably different in different people or in the same person in different environments and different physiological and psychological states, which determines the variety of treatment tools. Therefore, comprehensive treatment is an important feature of pain treatment.  Pain treatment includes both etiological treatment and symptomatic treatment. The pain of malignant tumors cannot be treated etiologically, and symptomatic treatment should also be taken. The latter includes pharmacological treatment, nerve block therapy, physical rehabilitation therapy, Chinese medicine treatment and surgery . For the treatment of all types of pain, pharmacological treatment is the most basic and commonly used method, while nerve block is an important tool. Nerve block is a pharmacological or physical method to block the nerve conduction function at the nerve trunk, nerve plexus, nerve root or sympathetic ganglion to achieve the purpose of pain treatment and diagnosis. A variety of common acute and chronic clinical pain can be effectively reduced or eliminated by the above comprehensive treatment methods.  Numerous studies have shown that effective analgesia can not only relieve patients’ fear and mental pain, prevent hypertension, tachycardia, arrhythmias and myocardial ischemia, reduce the incidence of myocardial infarction, but also promote the recovery of body functions. Many patients have certain misconceptions about pain clinics.  This idea is the biggest misconception that patients have about pain clinics. At present, domestic pain specialists have not been officially included in the medical establishment, some doctors do not understand pain medicine, many people still think that “pain is only a symptom”, rarely think about pain treatment, and at present only a few large hospitals in China have formalized pain specialist and wards, which leads to many people misunderstanding that the treatment of pain is only This has led many people to misunderstand that pain treatment is only “treating the symptoms but not the root cause”. In fact, chronic intractable pain is a disease in itself, and pain treatment can relieve the patient’s pain, which is of course “treating the symptoms and the root cause”.  The second misconception: the complete elimination of pain to be considered effective Treatment of pain requires patients to adhere to treatment, many people are eager to cure the disease, and do not want the pain can be completely eliminated at once. In fact, it takes patience to treat a disease, and chronic pain requires even more patience to treat. For some pains, reducing the pain is considered a successful treatment. The reason is simple, many diseases cannot be completely cured, such as diabetes, hypertension and other diseases, there is no way to cure, only to control blood pressure and blood sugar at the right level. The same applies to pain. When the cause of the disease cannot be eradicated, reducing the symptoms is the best treatment.  Misconception 3: Do not treat minor injuries regardless of the patient’s pain level, it is important to follow the doctor’s orders when treating. In the clinic, we often encounter patients who are clearly herniated lumbar discs but do not rest properly in bed after medication. Others have severe migraines, but do not listen to their doctors, and still engage in brain-intensive and very stressful work every day, without giving themselves a chance to catch their breath, so that even with allopathic treatment, the effect is not obvious.  Myth 4: The use of hormones is dangerous Due to the one-sided media coverage of hormones, many pain patients are also often worried about the presence of hormones in their medications. In fact, hormones are good drugs for treating pain caused by acute and subacute soft tissue trauma and immune diseases, and the key is that the principles of use should be mastered. It is safe to administer small doses for a short period of time under the guidance of a doctor, and hormonal drugs have anti-inflammatory effects and can also reduce pain. However, if long-term application of hormones can lead to hypertension, diabetes, osteoporosis, peptic ulcer, muscle atrophy, etc., it is even contraindicated for people who originally have the above-mentioned diseases. Therefore, glucocorticoids in pain treatment are a double-edged sword. Reasonable use is a good medicine to cure the disease, while abuse can bring damage to patients.  Many people have a lot of misconceptions about pain: they think that pain will pass if they put up with it, or that they can just take some painkillers, and that they will only consult a doctor when the pain is unbearable, which delays the condition. When the pain appears one way or another, you don’t know which department to go to for medical treatment, and as a result, you take a big detour to find the right place and miss the best time for treatment.  Some people have a lot of pain, but they don’t pay attention to it, so they like to find a small clinic on the street, or a massage parlor to rub it. Because pain is a very complex phenomenon, if not carefully judged, it is easy to deviate, and few small clinics in the wandering doctor after professional training, often will cure a moment and hurt a world.  Myth 7: The elderly should exercise more The elderly should exercise to avoid nerve damage and pain, it is best to choose moderate and gentle exercise, such as walking. Especially the heavier elderly, their intervertebral discs are prone to injury, so try to avoid strenuous exercise.  Myth 8: Self-administered analgesics A recent survey in the United States showed that there has been an increasing number of addicts taking analgesics in recent years. At the same time, taking painkillers blindly and prematurely can temporarily relieve pain, but because the site and nature of pain are covered up after taking painkillers, it is not conducive to the doctor’s observation and judgment of the disease site, which is not conducive to the doctor’s correct diagnosis and timely treatment. Therefore, analgesics need to be applied under the guidance of a doctor.