Acute Pain:
Acute pain is a
normal sensation triggered in the
nervous system to alert you to
possible injury and the need to take
care of yourself. A pulled muscle, a
cut or a headache are all examples
of acute pain. There are many OTC
pain relievers available on the
market. All come with their own set
of side effects.
If you are looking
for a natural pain reliever that
will not cause stomach bleeding or
other such problems, try
Feverfew
or White Willow Bark.
Chronic Pain:
While acute pain is
a normal sensation triggered in the
nervous system to alert you to
possible injury and the need to take
care of yourself, chronic pain is
different. Chronic pain persists.
Pain signals keep firing in the
nervous system for weeks, months,
even years. There may have been an
initial mishap -- sprained back,
serious infection, or there may be
an ongoing cause of pain --
arthritis, cancer, ear infection,
but some people suffer chronic pain
in the absence of any past injury or
evidence of body damage. Many
chronic pain conditions affect older
adults. Common chronic pain
complaints include headache, low
back pain, cancer pain, arthritis
pain, neurogenic pain (pain
resulting from damage to the
peripheral nerves or to the central
nervous system itself), psychogenic
pain (pain not due to past disease
or injury or any visible sign of
damage inside or outside the nervous
system).
Is there any
treatment?
Medications,
acupuncture, local electrical
stimulation, and brain stimulation,
as well as surgery, are some
treatments for chronic pain. Some
physicians use placebos, which in
some cases has resulted in a
lessening or elimination of pain.
Psychotherapy, relaxation and
medication therapies, biofeedback,
and behavior modification may also
be employed to treat chronic pain.
What is the
prognosis?
Many people with
chronic pain can be helped if they
understand all the causes of pain
and the many and varied steps that
can be taken to undo what chronic
pain has done. Scientists believe
that advances in neuroscience will
lead to more and better treatments
for chronic pain in the years to
come.
More research is being done on the
subject of chronic pain and we hope
to have more information for you
soon.
Back Pain
Acute or short-term
low back pain generally lasts from a
few days to a few weeks. Most acute
back pain is the result of trauma to
the lower back or a disorder such as
arthritis. Pain from trauma may be
caused by a sports injury, work
around the house or in the garden,
or a sudden jolt such as a car
accident or other stress on spinal
bones and tissues. Symptoms may
range from muscle ache to shooting
or stabbing pain, limited
flexibility and range of motion, or
an inability to stand straight.
Chronic back pain is pain that
persists for more than 3 months. It
is often progressive and the cause
can be difficult to determine.
Is there any
treatment?
Most low back pain
can be treated without surgery.
Treatment involves using
over-the-counter pain relievers to
reduce discomfort and
anti-inflammatory drugs to reduce
inflammation. The goal of treatment
is to restore proper function and
strength to the back, and prevent
recurrence of the injury.
Medications are often used to treat
acute and chronic low back pain.
Effective pain relief may involve a
combination of prescription drugs
and over-the-counter remedies.
Although the use of cold and hot
compresses has never been
scientifically proven to quickly
resolve low back injury, compresses
may help reduce pain and
inflammation and allow greater
mobility for some individuals. Bed
rest is recommended for only 1–2
days at most. Individuals should
resume activities as soon as
possible. Exercise may be the most
effective way to speed recovery from
low back pain and help strengthen
back and abdominal muscles. In the
most serious cases, when the
condition does not respond to other
therapies, surgery may relieve pain
caused by back problems or serious
musculoskeletal injuries.
What is the
prognosis?
Most patients with
back pain recover without residual
functional loss, but individuals
should contact a doctor if there is
not a noticeable reduction in pain
and inflammation after 72 hours of
self-care. Recurring back pain
resulting from improper body
mechanics or other non-traumatic
causes is often preventable.
Engaging in exercises that don't
jolt or strain the back, maintaining
correct posture, and lifting objects
properly can help prevent injuries.
Many work-related injuries are
caused or aggravated by stressors
such as heavy lifting, vibration,
repetitive motion, and awkward
posture. Applying ergonomic
principles — designing furniture and
tools to protect the body from
injury — at home and in the
workplace can greatly reduce the
risk of back injury and help
maintain a healthy back.
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