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- $Unique_ID{BRK00943}
- $Pretitle{}
- $Title{What Are the Hopes for a Person With Chronic Pain?}
- $Subject{pain chronic treatment treatments medication medications Nervous
- system transcutaneous electrical nerve stimulation TENS trigger point
- injections acupuncture nerve trigger points lidocaine endorphins physical
- therapy relaxation training biofeedback counseling special procedure
- procedures nerves}
- $Volume{P-2,R-1}
- $Log{}
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- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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- What Are the Hopes for a Person With Chronic Pain?
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- QUESTION: What are the hopes for a person who has suffered with chronic pain
- for so many years now that just looking at another pill is more than I can
- bear? Even my precious physician is running out of combinations of
- medications to take and is willing to listen to any suggestions. In fact he
- suggested that I write to you. Will you please help?
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- ANSWER: Although each person handles pain in a different manner, it is clear
- from your letter that you and your physician have fought the good fight and it
- is now time to consider possibilities other than just medications. And there
- is an impressive array of techniques for you to consider, all with records of
- some success in some people. Depending upon the nature and cause of your
- pains, you might consider transcutaneous electrical nerve stimulation (TENS),
- trigger point injections, acupuncture and nerve blocks to mention but a few.
- TENS is known to be quite useful for short term relief of acute pain, but can
- be helpful in cases of tension neuralgia and people with multiple peripheral
- nerve injuries. It is an electrical stimulation that diminishes pain signals
- and requires an experienced technician to help you, for there is a bit of
- trial and error in determining frequency of the current and placement of
- electrodes for best results. When there are well localized points of pain or
- "trigger points", destroying the spot of degenerated muscle tissue that is
- causing the pain with a hypodermic needle can bring relief. Several
- insertions of the needle may be necessary, and the use of lidocaine may reduce
- the pain caused by the procedure. Acupuncture may offer temporary relief,
- possibly by increasing the level of endorphins (naturally occurring pain
- killing chemicals) in the blood. In addition, behavior modification
- techniques, physical therapy, relaxation training, biofeedback and family and
- vocational counseling all provide other avenues of therapy to deal with the
- trials of chronic pain. There are now more than 450 chronic pain treatment
- clinics in this country, many of which use a multidisciplinary approach which
- provides trained individuals in the areas mentioned above. It may be time now
- for you and your physician to search out one of the specialized care centers
- in your area, to obtain a new approach for your pain problem.
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- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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