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Posts Tagged ‘Acute Pain’

February 24th, 2009 No comments
Terry OBrien asked:

The sad fact is that nearly everyone will experience pain at some time in his or her life. Unfortunately however for some people pain becomes an everyday experience.

Here in the UK studies have shown that about 20% of the population suffers from chronic pain (pain lasting for more than three months). Nearly 15% of the population suffers from chronic pain severe enough to prevent them from living a normal life.

Studies have also shown that many people do not have their pain managed effectively.

Lets be honest Pain is an unpleasant experience.

It involves sensory nerves that detect pain and the central nervous system (brain and spinal cord) that alters the final experience of pain. Pain is also influenced by our emotional state.

The simplest form of pain to understand is acute pain, for example that which occurs if you cut yourself. This pain acts as a warning signal so that you protect the injured area. The pain originates from pain-sensing nerves at the site of injury and usually gets better quickly.

Pain doesn’t always get better and may become chronic. Chronic pain is more difficult to control than acute pain and frequently requires specialist assessment and treatment. Sometimes pain becomes a disease in itself, rather than just a symptom of a disease.

This is confusing both to the person with pain and their treating health professionals, sometimes resulting in unnecessary investigation and even surgery.

Another form of pain that is difficult to treat is neuropathic pain (pronounced new-row-pathick). Neuropathic pain results from abnormal function in, or injury to, the nervous system, for example pain following amputation (phantom limb pain) or sciatica.

Neuropathic pain is sometimes difficult to diagnose, and the treatment of neuropathic pain requires specialist knowledge.

Being in pain is a stressful experience and can have an impact on many areas of your life activity levels, work, social life, relationships and psychological well-being.

People often feel they are no longer in control of their life. Other people may have suggested that the pain is not real or is ‘in your head’ At Back Trouble UK we know that your pain is real and we are here to help.

Terry O’Brien

Back Trouble UK

www.backtrouble.co.uk

SHANNON

February 11th, 2009 No comments
Hemant Yagnick, M.D. asked:

Acute back pain may begin suddenly and usually lasts around 3 months. Chronic back pain sometimes lasts throughout life.

The most common back pain is low back pain (LBP). It is is often described as sudden, sharp, persistent, or dull pain felt below the waist. LBP is very common and affects the majority of people at some point during their life. Up to 70%–85% of all people have back pain at some time in their lives. LBP is the most common cause of a limitation of activity in people younger than 45 years of age. It is the second most frequent reason for visits to a physician, and the third most common indication for surgery. It is the fifth-ranking cause of hospital admissions and is one of the leading causes of disability.

Low back pain is most commonly caused by muscle strain associated with heavy physical work, lifting or forceful movement, bending or twisting, awkward positions, or standing in one position too long. Any of these movements can exacerbate a prior or existing back disorder. Other conditions that can cause low back pain include spinal stenosis, arthritis (osteoarthritis), spinal infection (osteomyelitis), spinal tumors (benign and malignant), spondylolisthesis, and vertebral fractures (e.g. burst fracture).

Low back pain is either acute or chronic. Acute LBP may begin suddenly with intense pain usually lasting fewer than three months. Chronic pain is persistent long-term pain, sometimes lasting throughout life. Even chronic pain may present episodes of acute pain. Other symptoms include localized pain in a specific area of the low back, general aching, and/or pain that radiates into the low back, general aching, and/or pain that radiates into the low back, buttocks and leg(s). Sometimes pain is accompanied by neurological symptoms such as numbness, tingling, or weakness. Neurological symptoms requiring immediate medical attention include bowel or bladder dysfunction, groin or leg weakness or numbness, severe symptoms that do not subside after a few days, or pain prohibiting everyday activities.

Pain felt in the low back is not always indicative of a spinal problem. A thorough physical and neurological assessment may reveal the cause of the low back pain. The physical examination begins with the patient’s current condition and medical history. Examination of a patient with low back pain involves examining the patient’s range of spinal motion while standing straight, bending forward, and to the side. Asymmetry, posture, and leg length is noted. Methodical palpation of the spine can reveal muscle spasm, possible bony displacement, and tender points. Abdominal palpation is performed to determine if the cause of low back pain is possibly organ related (e.g. pancreas). The neurological assessment evaluates weakness, absence of reflexes, tingling, burning, pain, diminished function, and other signs that may indicate nerve involvement.

If infection, malignancy, fracture, or other risk factors are suspected, routine lab tests may be ordered. These tests may include complete blood count (CBC), erythrocyte sedimentation (ESR), and urinalysis. In some cases electrodiagnostic studies such as electromyography (EMG) or nerve condition velocity (NCV) are performed to confirm a diagnosis or localize the site of nerve injury. Plain radiographs (x-rays), CT Scan, and/or MRI studies are performed when fracture or neurological dysfunction is suspected. A MRI represents the gold standard in imaging today. A MRI renders high-resolution images of spinal tissues such as the spinal cord and intervertebral discs. X-rays are still the imaging methods of choice to study the bony elements in the low back. The results of the physical and neurological examinations combines with test results are carefully evaluated to confirm a diagnosis.

Most patients with low back pain are treated without surgery. A conventional treatment plan may include bed rest for a day or two combines with medication to reduce inflammation and pain. Medications recommended by the physician are based on the patient’s medical condition, age, other drugs the patient currently takes, and safety. The first choice for pain relief is often nonsteroidal anti-inflammatory drugs (NSAIDs). These drugs should be taken with food to prevent stomach upset and stomach bleeding. Muscle relaxants may provide relief from muscle spasm but are actually benign sedatives, which often cause drowsiness. Narcotic pain relievers are prescribed for use during the acute phase and often for chronic pain management in appropriate patients.

Other modalities to treat low back pain might include physical therapy (PT), transcutaneous electrical nerve stimulator (TENS) trial, ultrasound therapy, acupuncture and massage therapy. A managed PT program can help build muscle strength and flexibility, improve mobility, coordination, stability and balance, and promote relaxation. Patients who participate in a structured physical therapy program often progress to wellness more rapidly than those who do not. This includes low back maintenance through a home exercise program developed for the patient by the physical therapist.

Although the number of spinal surgeries done every year is on the rise, it is rarely required to treat low back pain. Surgery may be considered if the patient is experiencing bowel or bladder dysfunction, increased nerve impairment, progressive weakness, incapacitating pain, or spinal instability. The surgical procedure depends on the diagnosis or the cause of low back pain. To prevent low back pain, first and foremost, follow the treatment plan outlined by the physician. To enhance recovery from an episode of low back pain, or to help prevent future exacerbation, try to maintain good posture, be consistent in a home exercise program, and eat sensibly to maintain proper body weight.

About Walton Rehabilitation Health System:

Walton Rehabilitation Health Systems (WRHS) is a leading not-for-profit comprehensive, multi-specialty, dedicated provider of physical medicine and rehabilitation. Our mission is to be an advocate for wellness by providing a continuum of services to treat the whole person. WRHS, whose reputation extends throughout the south, is a trusted partner with just the right expertise and treatments to help people with disabling injuries and illnesses return to work and to a fulfilling life. By pursuing its mission, WRHS has grown to include Walton Pain and Headache Centers, Walton Community Services, Walton Options for Independent Living, Walton Foundation for Independence, and Walton Technologies. We are located at: 1355 Independence Drive, Augusta, GA 30901-1037. For more information visit www.wrh.org or call 866-4-WALTON.

ELENA

February 10th, 2009 No comments
herbalremedies asked:

More people call out sick from work because of chronic pain than call out sick because of the common cold. Chances are you or someone you know suffers from chronic pain. Pain is a necessary part of life. It alerts us when something is wrong with our bodies. It’s normal to experience pain with an illness or injury. Normally, this pain fades as the injury heals or the sickness goes away. This is referred to as acute pain.

Pain becomes chronic when it continues after the healing time of the injury. This pain can hang on for months or even years and often causes depression in its sufferers. Chronic pain can also occur as the result of an ongoing condition, like fibromyalgia, arthritis, or cancer. Back injuries, carpal tunnel syndrome, and migraine headaches are some other examples of conditions that cause chronic pain. Some pain can result from injury to the nerves causing them send false signals to the brain. How massage affects your pain is partly dependent on its source.

If your pain is caused by a muscle injury massage can not only help ease the pain but also help speed the healing process. Acute or chronic – these are the two words that describe pain. Acute goes away easily and rarely lasts long. Chronic is its exact opposite. Chronic pain can last for six months and is expected to recur at anytime. The main cause of it is very hard to pinpoint. And it doesn’t help if doctors were more interested in addressing the pains rather than knowing what is actually causing it. As such, chronic pain relief can be elusive to patients.

But then again, there are certain medicines and therapies that are deemed effective for chronic pain. There are also a lot of medicines sold over-the-counter, which can truly help. While chronic pain is a major problem, patients do have options to treat it. Doctors normally prescribe medicines, antidepressants, and anticonvulsants, to address chronic pain. Chronic pain relief is also possible with physical therapy. Physical therapy corresponds to the low-impact exercises like swimming, walking, and stretching. If done regularly, these simple exercises can help your body a lot. It can help lower the intensity of the pain you’re going through.

However, these exercises are best performed along a trained physical therapist. Both occupational and behavioral therapies could also help. In occupational therapy, patients are thought how to pace and condition themselves when doing everyday tasks. Don’t get discouraged if you are one of the chronic pain sufferers for which a cause cannot be found. An unknown source doesn’t make the pain any less real. Fibromyalgia, for example, causes widespread pain in muscles and joints.

Yet, a person with fibromyalgia may not know the cause of the pain A healthcare provider may be able to link fibromyalgia to an injury or virus; but in other cases, a specific cause may go unidentified. Irritable bowel syndrome is another example of chronic pain for which the specific cause may not be known. Chronic pain may be related to changes in your nerve signals after a healed injury. Chronic pain may also be related to heightened pain sensitivity when your body produces lower than normal levels of painkilling endorphins. If you suffer from chronic pain do not ignore the warning signals. If you try to tough it out, the disease, illness, or injury may get worse. Left untreated, chronic pain can also mentally wear you down. Making massage therapy part of your treatment routine could help ease your pain and lessen your dependence on pain killing drugs. In the long run this will lead to less drug side effects and better health.

IRA

February 2nd, 2009 No comments
Peter sams asked:

Back pain is an all-too-familiar problem that can range from a dull, constant ache to a sudden, sharp pain that leaves you incapacitated. It can come on suddenly – from an accident, a fall, or lifting something too heavy – or it can develop slowly, perhaps as the result of age-related changes to the spine. Regardless of how it happens or how it feels, you know it when you have it. And chances are, if you don’t have it now, you will eventually.

Lower back pain, also known as lumbago, affects 7 out of 10 people at some time in their lives. Low back pain means a pain or ache anywhere on your back, in between the bottom of the ribs and the top of the legs.

The pain can come on suddenly, slowly or be the direct result of a fall or injury.

There are many causes of back pain.

• The most common cause is a strain of the back, which is a small tear of the back muscles or ligaments. This usually results from a sudden or awkward movement, or from lifting a heavy object. But often, a person can’t remember a particular incident that brought on the pain.

• Other common causes include poor muscle tone in the back, tension or spasm of the back muscles and problems with the joints that make up the back.

The symptoms for back pain are:

• Persistent aching or stiffness anywhere along your spine, from the base of the neck to the hips.

• Sharp, localized pain in the neck, upper back, or lower back — especially after lifting heavy objects or engaging in other strenuous activity.

• Chronic ache in the middle or lower back, especially after sitting or standing for extended periods.

Types of Back Pain

Acute pain

One common type of pain is acute pain, currently defined as pain lasting less than 3 to 6 months, or pain that is directly related to tissue damage. This is the kind of pain that is experienced from a paper cut or needle prick. Other examples of acute pain include:

• Touching a hot stove or iron. This pain will cause a fast, immediate, intense pain with an almost simultaneous withdrawal of the body part that is being burned. More of an aching pain might be experience a few seconds after the initial pain and withdrawal.

Chronic back pain

Typically persists longer than the expected healing time for the identified cause of the pain—such as low back surgery—or persists after the identified cause of the pain has been treated.

Osteoarthritis

This is a long-term degeneration of the joints, which makes them less able to withstand stress. It’s a wear-and-tear problem that affects most of us as we get older and which can give rise to pain in some cases.

Exercises to minimize problems with back pain

You can minimize problems with back pain with exercises that make the muscles in your back, stomach, hips and thighs strong and flexible. Some people keep in good physical condition by being active in recreational activities like running, walking, bike riding, and swimming. In addition to these conditioning activities, there are specific exercises that are directed toward strengthening and stretching your back, stomach, hip and thigh muscles.

JAMEY

February 1st, 2009 No comments
Peter James Field asked:

At one point or another each of us has experienced pain.

Though few people actually welcome it, few would deny that it has an essential role to play in our survival. After all, without pain, we simply wouldn’t be aware that tissue damage is taking place somewhere in our body and that we need to do something – fast.

In any approach to pain, of course, we need to first check with a qualified doctor or other medical practitioner. It is essential that we get a proper medical evaluation of our situation and the correct treatment for any disease or injury that we may have suffered.

But what if we have already done this? But what if we have already received and understood the message pain brings, done all we – and the doctor – can do and yet still the pain exists?

This is the predicament faced by millions of us on a daily basis. And living with this kind of pain seriously affects the quality of life for anyone forced to experience and endure it.

Generally speaking, pain may be divided into two distinct types: Acute pain and chronic pain.

Acute pain is useful and indeed, essential. It informs us of what needs attention and this is the reason for its existence. It’s a signal relayed from the wounded area to the brain alerting us to take action.

But chronic pain is altogether different. With pain of this kind, we have already received the message and still it persists. It is ongoing and relentless. It’s as if we seem to be just stuck with it.

Indeed, the chronic pain generated by conditions such as rheumatism, back and shoulder pain, arthritis, migraine headaches, post surgical pain, cancer (and sometimes its treatment), fybromyalgia etc serves no useful purpose. It is unneeded for our survival.

Put simply, chronic pain is useless pain.

When pain outlives its usefulness it needs to be muted or silenced.

Perhaps the most surprising thing is that we almost always look to ourselves last in any attempt to control our chronic pain. Yet it is within our self and our own mind that real pain relief and truly effective pain control can be found.

Because we are so accustomed to looking outside of ourselves for help with pain, we seem to have a learned mind-set of helplessness when it comes to chronic pain. We have been conditioned to accept that something or someone external to ourselves is responsible for making pain go away.

Understanding that we have it within our self to control pain is a major step forward in releasing its truly debilitating grip on our life.

And this is the wonderful power of using hypnosis and self-hypnosis for pain relief.

With properly applied hypnosis we are empowered to instruct our own mind to dramatically reduce – and in many cases totally eliminate – any pain we may be experiencing.

No drugs, no apparatus, no TEMS machines are needed. Indeed, hypnosis is so powerful that it can be, and sometimes is, used instead of local or general anaesthetic in order to completely eliminate pain even in major surgery.

All that’s required is your mind’s own innate capacities and abilities.

If you or someone you care about suffers from chronic pain, there really is something you can do about it.

By working with an experienced and fully qualified transformational hypnotherapist, you can learn how to control even long-standing chronic pain.

Using the power of your own mind you can indeed learn to control pain – and regain control of your life.

YULANDA

January 30th, 2009 No comments
Igor S asked:

Body pain is a condition experienced by most individuals once in a while. Pain management clinics help in providing total relief from pain. At Brooklyn, in New York there are a number of pain management clinics providing value added services to a wide range of patients.

Acute pain usually occurs due to physical injuries and this can be cured by proper diagnosis and treatment, whereas for chronic pain diagnosis and treatment are difficult. Pain management clinics in Brooklyn, NY utilize pharmacologic, non-pharmacologic and psychological measures to relieve acute and chronic pain. These pain management clinics have medical practitioners such as anesthesiologists, neurologists, and psychiatrists for providing effective pain management. Some practitioners concentrate on pharmacologic treatment, some others focus on interventional procedures such as steroid injections, neurolytic blocks, spinal cord stimulators, facet joint injections, and intrathecal drug delivery system implants. Physiotherapists, clinical psychologists, occupational therapists and chiropractors offer their services in advanced pain management clinics in Brooklyn.

Dentists for treating facial pain and specialists to help in improving relaxation are also part of pain management clinics. These practitioners coordinate to provide proper pain management. Anti-inflammatory drugs are delivered orally to relieve the pain. Some drugs are delivered transdermally, rectally or as injections. Neuro stimulation and electrical stimulation facilities are available in pain management clinics to reduce the sensation of pain. Other sophisticated devices for relieving pain are also available in these pain management clinics in Brooklyn, NY.

Physiotherapists administer appropriate exercise techniques to patients that help in controlling body movement and restoring the functions of muscles and joints. Pain management programmes in these clinics which last for 2 to 4 weeks help patients recover their overall health. Surgeries are provided for correcting the underlying problems that are causing the painful condition. Some pain management clinics in Brooklyn also make available alternative therapies which include Chinese healing methods like acupuncture.

If you are one suffering from acute or chronic pain, avail yourself of the service of a pain management clinic in Brooklyn and lead a happy and pain free life.

CORINE