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Posted in Pain Management on September 3, 2011

Summary- There are different types of pain in our body caused by an array of factors and ailments. People should know these causes to save themselves from severe illness in the future. Each part of our body suffers from each type of pain and therefore the treatments are specific in each case.

 

There are different types of pain other than the common pains we frequently experience like the back pain or the headache. Sometimes, some pains may be the alarms for a serious illness that we tend to overlook. To avoid such kind of dangers we must know a bit about the genre of pains in our body.

Headaches are one of the most common pains that we suffer from. Persistent headaches are treated with biofeedback injections and Botox. Trigeminal neuralgia is a type of facial pain, which is treated by injections in the nerve tissue. The next type of pain is Compression Fractures and they are common among aged people. They mostly occur due to osteoporosis or loss of calcium in the body. Vertebroplasty is an effective treatment for this pain.

 

Neuropathy or peripheral nerve pain is a type of neural pain. Anesthetic medicines injected through trigger point injections can give some relief from this pain. Intercostal neuralgia, hypo gastric neuroma, interdigital neuroma, etc., are examples of peripheral nerve pain. The pain, which, arises from the region of tailbone or coccyx, is called coccydynia. It is mainly triggered by trauma or other causes.

 

Post-herpetic neuralgia is a kind of pain in the nerve caused by Herpes Zoster virus in the body. Medications like acyclovir, steroids and sympathetic injections can help to stop the pain. Myofasciitis is a kind of muscular pain, usually in the neck or back, which can be cured by massage or exercise. Torticollis is a sudden pain in the neck, which can be cured using Botox treatment.

 

Piriformis syndrome pain is a kind of tightening of the piriformis muscle, which in turn contracts the sciatic nerve and sends a pain down the leg. It can be cured either through physical therapy or though steroids and Botox injections. Plantar fasciitis, which is pain in heels and epicondylitis or tennis elbow, is another common pain. Such pains are treated with steroids injections, physical therapy, and Extracorporeal shockwave treatment.

 

The next type of pain is the cancer pain, which can be caused from many sources like cancer, cancer treatment procedures, nerve compression, etc. Different types of medication and injections are used to treat such pain. Also, techniques like pain pumps to deliver medication and ablative therapies are employed.

These are the different types and causes of pain in our body, which if ignored can cause a serious ailment in the future.

 

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Posted in Pain Management on September 3, 2011

Summary: Neuropathic pain happens due to the malfunction of the nervous system of the human body. Neuropathic pain is difficult to treat and often only one way of treatment is not enough.

 

The pain that is caused by a glitch in the way the nervous system of the human body works is termed as neuropathic pain. This type of pain is difficult to diagnose and treat, often requiring an amalgamation of various methods of treatment. The main support to treat this type of pain is medication. The medication may not really decrease the pain but often succeeds in reducing the sensation of the pain.

 

The central nervous system at the level of spinal cord generally filters the information about pain that the nerves send to the brain. The drugs that are prescribed to treat neuropathic pain work at this level. That is they help the spinal cord filter more information about pain than it normally would, so the brain receives less signals about the pain. Medicines like antidepressants, which influence the amount of serotonin or norepinephirne and antiseizures that manipulate the amount of neurotransmitters like GABA and glycerin, are prescribed by the doctors.

 

The spinal cord stimulator is one of the most important and powerful tools that help to treat neuropathic pain. This tool delivers small amounts of electrical energy directly into the spine, which ensures that the spinal cord functions normally even when the body experiences pain and interrupts unsuitable pain information being sent to the brain.

 

Neuropathic pain includes the following types of pain.

Complex Regional Pain Syndrome – Also referred to as reflex sympathetic dystrophy, in this condition the affected site receives nerve impulses in high levels. The person may experience chronic pain and the affected area may swell and become red. The pain may spread to a greater area in this condition and not remain confined to just the affected area.

 

Fibromyalgia – It is also a chronic pain condition but the exact causes of it are still unknown. In patients suffering from fibromyalgia it is found that the central nervous system is hypersensitive and there also is a nerve growth factor in the spinal fluid.

The other conditions that are associated with neuropathic pain are, Interstitial Cystitis, which is a chronic urinary urgency in which the individual feels the need to urinate immediately and this happens frequently though it may change over time for the individual. The irritable bowel syndrome occurs due to the malfunction of muscles or nerves of the bowel of an individual and this may include conditions like ulcers, colitis, etc. Along with these, sympathetically maintained pain also is included in neuropathic pain.

 

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Posted in Pain Management on September 3, 2011

Summary: Physical pain associated with human beings can be divided into two types-nociceptive pain and neuropathic pain. The correct identification of a pain is very important for its right treatment.

 

Pain is very common for people all over the world. This pain can successfully be classified into two types – nociceptive pain and neuropathic pain. Nociceptive pain is experienced when the body suffers an injury, like a broken bone or a cut or swelling or an injury to the spine, etc. The injury is visible to the eyes and except for the injury there is nothing wrong with the body. The neurological functions of the body are completely normal. Whereas in the case of neuropathic pain there is no apparent injury to be noticed but still the person has a feeling of being in pain.

 

As opposed to nociceptive pain the nervous system of the body malfunctions in case of neuropathic pain. Most of the pain that is felt in the arm, back and leg fall under the division of nociceptive pain. Nociceptive pain can be further grouped into two types- the radicular pain and the somatic pain.

 

Radicular Pain

Pain which is experienced by a person because of some irritation in the root of the nerves is called radicular pain. Like, if a person suffers an injury in a disc of the spinal cord, the whole nerve from the spine to the leg would have the understanding of pain. Along with radicular pain radiculopathy is connected, it deals with the feeling of numbness, tingling, weakness or the loss of reflex of a bundle of nerves.

 

Somatic Pain

Unlike radicular pain which can be felt in any part of the body, somatic pain is felt majorly in the legs and the back. Back pain is a serious problem to both the patient and the doctor. It is difficult to pin point the actual cause of the pain even after getting imaging tests conducted like CT scan, MRI, and X-RAY, etc. The family history of the patient and other physical tests may also be of no help.

 

The three structures at the back of the human body, the facet joints which are small and situated at the back of the spine; the discs which are placed in between the bones of the spine; and the sacroiliac joints at the buttock area are the places where the pain come back even after treatment. The facet joints provide stability, the discs are the ‘shock absorbers’ and the sacroiliac joints help in normal walking. Fluoroscopic or X-Ray guided injections may help to identify the place of the pain and once that is done the pain can be successfully treated.

 

 

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Posted in Pain Management on September 3, 2011

Summary: Today pain management has become an important part of medical sciences. Proper treatment of any pain is very essential for fast and healthy recovery from any kind of pain.

 

Pain is an unpleasant sensation in the body that may be caused due to various reasons. It may be caused due to any physical injury or any mental or emotional trauma. Basically this sensation makes us to perform certain activities and actions so as to protect our bodies from any harm. Pain can be a protector or a predictor or can simply be some sort of a hassle. In any case it needs to be dealt with. This is where pain management steps in. It provides a solution to tackle the pain in a systematic way so as to reduce the level of irritation and cure the pain as fast as possible.

 

Depending on the cause of the pain, the type of the pain management procedure varies. It can be a simple or a complex one. Sometimes a pain takes a longer time to cure. Therefore a wide variety of techniques and effective skills are required for the treatment of such pain. Skills and treatments can be categorized accordingly and they include,

  • Interventional techniques and procedures
  • Medication management
  • Chiropractic or Physical therapy
  • Psychological support and counseling
  • Alternative therapies like acupuncture
  • Timely referral to other medical specialists

 

Pain management and treatment of the pain are generally done on the basis of the history, duration, intensity, and other parameters of the pain. The structures causing the pain also contribute to the steps involved in the proper treatment of the pain. Now, for a structure to cause any sort of pain,

·         it should have a nerve supply

·         it should be vulnerable to hurt

·         its stimulation should generate pain

A treatment procedure is formulated on the basis that a particular structure with nerve supply is responsible for the generation of the pain in the body.

 

Pain management may also deal with identifying the accurate source of the problem and then isolating it for the optimal treatment. The pain has to be treated in a proper manner so that it might not also spread and affect other parts of the body. In any case if the pain exceeds the toleration level then it should be immediately conferred to the physician for further medication and observation. The symptoms should be rightly conveyed to the physician for precise treatment as missing any detail can cause alteration in the pain management procedure and can delay the proper cure of the pain.

 

 

 

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