Inflammation and pain management?
Inflammation is part of the body's immune response.
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It can be beneficial when, for example, your knee sustains ablow and tissues need care and protection. However, sometimes, inflammation canpersist longer than necessary, causing more harm than benefit.
Pain Management: Treating Mind and Body
Scheman stresses the importance of approaching pain bothphysically and emotionally and addressing "people as entire human beings.”So while chronic pain medication can be effective and important for painmanagement for many people, it isn't the only tool available when it comes topain treatment, and it shouldn't be the only tool that's used.
Medications. "There are a lot of medications that areprescribed for pain," says Scheman, although she notes that opioids(narcotics) and benzodiazepines may not be the best options. Those treatments"have their own problems, and there are no good studies on using opioidsfor long periods of time for the treatment of chronic pain."
Types of chronic pain medication used include:
NSAIDs (non-steroidal anti-inflammatory drugs), includingibuprofen, naproxen, and aspirin
Acetaminophen (Tylenol)
Antidepressants12@, which can improve sleep and alleviate pain
Anti-seizure medications, which can be effective in treatingpain related to nerve damage or injury
Steroids, like dexamethasone and prednisone, to alleviateinflammation and pain
Therapy. Therapy can be aimed at both the mind and the body.Says Scheman, "I try to look at any of these therapies as not being purelyphysical or purely psychological — we are always a mixture of both of thosethings."
Physical therapy is a very important part of any painmanagement program. Pain can be worsened by exercise that isn't done correctly(or interpreted incorrectly as pain rather than overuse), and a physicaltherapist can tailor the right exercise regimen for you. Proper exercise slowlybuilds your tolerance and reduces your pain — you won’t end up overdoing it andgiving up because it hurts.
Cognitive-behavioral therapy allows people to "learnand have a better understanding of what the pain is from, and what they can doabout it," says Scheman. This therapy is really about understanding therole of pain in your life and what it actually means for you, add Scheman.
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Anti-inflammatory medications
Non-steroidal anti-inflammatory drugs (NSAIDs) can be takento alleviate the pain caused by inflammation.
They counteract an enzyme that contributes to inflammation.This either prevents or reduces pain.
Examples of NSAIDs include naproxen, ibuprofen, and aspirin,which are available to purchase online.
Avoid the long-term use of NSAIDs unless advised by adoctor. They increase a person's risk of stomach ulcers, which can result insevere, life-threatening bleeding.
NSAIDs may also worsen asthma symptoms, cause kidney damage,and increase the risk of having a stroke or heart attack.
Acetaminophen, such as paracetamol or Tylenol, can reducepain without affecting the inflammation. They may be ideal for those wishing totreat just the pain while allowing the healing factor of the inflammation torun its course.
Corticosteroids
Corticosteroids, such as cortisol, are a class of steroidhormones that prevent a number of mechanisms involved in inflammation.
There are two sets of corticosteroids:
Glucocorticoids: These are prescribed for a range ofconditions, including:
Arthritis, temporal arteritis, dermatitis, inflammatorybowel disease (IBS), systemic lupus, hepatitis, asthma, allergic reactions,sarcoidosis
Creams and ointments may be prescribed for inflammation ofthe skin, eyes, lungs, bowels, and nose.
Mineralocorticoids: These are used to treat cerebral saltwasting, and to replace important hormones for patients with adrenalinsufficiency.
The side effects of corticosteroids are more likely if takenby mouth. Taking them with inhalers or injections can reduce the risk.
Inhaled medications, such as those used long-term to treatasthma, raise the risk of developing oral thrush. Rinsing the mouth out withwater after each use can help prevent oral thrush.
Glucocorticoids can also cause Cushing's syndrome, whilemineralocorticoids can cause high blood pressure, low blood potassium levels,connective tissue weakness, and problems with the levels of acids and alkalisin body tissue.
