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Pain Basics

Also called: Physical Pain

- Summary
- About pain
- Types and differences of pain
- Causes of pain
- Assessment of pain
- Treatment of pain
- Issues in pain relief
- Questions for your doctor

Reviewed By:
Vikas Garg, M.D., MSA

Treatment of pain

There are a number of ways to treat acute pain and chronic pain. A physician may recommend lifestyle improvements such as exercise, quitting smoking, stress management, reduced intake of alcohol, weight loss or diet. Other categories of interventions in pain management:

  • Medication. The many classes of drugs used to address pain include:

    • Analgesics (painkillers), including non-narcotics such as acetaminophen and opioids such as morphine

    • Anti-inflammatory drugs, including nonsteroidal anti-inflammatory drugs (NSAIDs, such as aspirin, ibuprofen, naproxen and COX-2 inhibitors) and corticosteroids

    • Disease-modifying antirheumatic drugs (DMARDs), to reduce joint damage caused by conditions such as rheumatoid arthritis and lupus

    • Antidepressants, sometimes prescribed for certain types of chronic pain

    • Anesthetics and interventional injections, which includes nerve blocks, epidural steroid injections and facet joint injections

  • Therapy. Several health professions offer interventions to help deal with pain, including:

    • Physical therapy, to increase strength, range of motion, coordination and balance

    • Occupational therapy, to maximize function in daily activities such as dressing and cooking

    • Manipulation therapy (e.g., chiropractic, massage therapy), to improve bodily movements

    • Cognitive behavioral therapy, to help patients replace negative thought patterns with positive ones

  • Modalities (physical agents). Examples of modalities that can relieve pain and increase function include:

    • Thermotherapy (heat), such as ultrasound therapy
    • Cryotherapy (cold)
    • Hydrotherapy (water)
    • Electrical therapy, such as TENS

  • Complementary and alternative methods. It is best to consult a physician before trying treatments such as:

    • Acupuncture, a Chinese practice inserting needles into trigger points

    • Acupressure, a needle-free variation on acupuncture

    • Biofeedback, which trains the mind to control bodily functions

    • Glucosamine and chondroitin, supplements that might help some cases of arthritic pain

  • Surgery. If noninvasive measures are inappropriate (such as with appendicitis) or do not succeed, an operation may be necessary. Types include:

    • Arthroscopy, involving small incisions
    • Arthroplasty, such as a joint replacement
    • Carpal tunnel release
    • Spine surgery, such as laminectomy, fusion, vertebroplasty and kyphoplasty

 

Knee replacement surgery involves replacing part of the knee joint with metal and synthetic pieces. Vertebral fusion involves implanting small pieces of the hipbone between the injured vertebrae.

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Review Date: 04-10-2007
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Copyright (c) 2000-2009 iVillage Inc. All rights reserved. The information provided on this site is intended for your general knowledge only and is not a substitute for professional medical advice or treatment for specific medical conditions. You should not use this information to diagnose or treat a health problem or disease without consulting with a qualified healthcare provider. Please consult your healthcare provider with any questions or concerns you may have regarding your condition.