Monday, March 23, 2009
Types of Pain Medications
Acetaminophen: Tylenol (Acetaminophen) is used to treat pain. Unlike some medications for pain, Tylenol does not have anti-inflammatory effects. Often, however, in cases of chronic pain, no inflammation is at the site of the pain, and thus Tylenol may be an appropriate treatment choice. Tylenol is safe when used appropriately, but can be dangerous when used excessively. Patients should be aware of Tylenol that is mixed in with prescriptions such as Percocet or Darvocet, and not take these medications as well as regular Tylenol.
Non-Steroidal Anti-Inflammatory Medications (NSAIDs): The NSAIDs (such as Ibuprofen, Motrin, Aleve, etc.) are most beneficial in cases of acute pain, or flare-ups in patients with chronic pain. NSAIDs are excellent at treating inflammatory conditions including tendonitis, bursitis, and arthritis. In general, NSAID use is limited for patients with chronic pain because of concerns about the development to stomach problems. While the newer, so-called COX-2 inhibitors, such as Celebrex, were designed to avoid this complication, caution should still be used when using these medications for long periods of time.
Corticosteroids: As with NSAIDs, corticosteroids are powerful anti-inflammatory medications, and best used for acute pain or for flare-ups of a chronic inflammatory problem. Corticosteroids can either be taken orally (such as Medrol, Prednisone), or injected into the soft tissues or joints (cortisone injections).
Narcotics: Narcotics should be considered if pain cannot be otherwise controlled. Although these medications can be dangerous and addicting, they can also be extremely effective. While narcotic medications are useful for acute pain, they also have significant side effects. The short-acting types of these medications can lead to overuse and the development of tolerance. Long-acting options have fewer side effects, and better control of chronic pain. Narcotics can become addictive when they are used for lengthy times without gradual reduction in the dose, or if the medications are taken for reasons other than pain.
Anti-Convulsants: Anti-convulsant medications are the category of medications that work to relieve nerve pain. These medications alter the function of the nerve and the signals that are sent to the brain. The most commonly prescribed anticonvulsant medication for nerve pain is called Neurontin (Gabapentin). Another option that has more recently emerged, specifically for the treatment of fibromyalgia, is called Lyrica (Pregabalin).
Local Anesthetics: Local anesthetics can provide temporary pain relief to an area. When used in the setting of chronic pain, local anesthetics are often applied as a topical patch to the area of pain. Lidoderm comes in a patch that is applied to the skin and decreases the sensitivity of this area.
Bottom Line: Chronic pain is a problem that is seldom resolved quickly, or with one treatment. The best way to treat chronic pain is by working with your doctor and trying to attack the pain with different types of treatments. Other treatments effective for chronic pain include acupuncture, ice and heat application, massage, and other alternative treatments.
Tuesday, February 17, 2009
Treatment of pain
Pain is a feeling triggered in the nervous system. Pain may be sharp or dull. It may come and go, or it may be constant. You may feel pain in one area of your body, such as your back, abdomen or chest or you may feel pain all over, such as when your muscles ache from the flu.
Pain can be helpful. Without pain, you might seriously hurt yourself without knowing it, or you might not realize you have a medical problem that needs treatment. Once you take care of the problem, pain usually goes away. However, sometimes pain goes on for weeks, months or even years. This is called chronic pain. Sometimes chronic pain is due to an ongoing cause, such as cancer or arthritis. Sometimes the cause is unknown.
Fortunately, there are many ways to treat pain. Treatment varies depending on the cause of pain.
People used to think they just had to put up with severe pain after surgery. Today, your nurses and doctors can do many things before and after surgery to prevent or relieve your pain.
Treatment of pain can help you in the following ways:
· You can feel more comfortable, which will help your body heal.
· You can get well faster. If you feel less pain, you can start walking and get your strength back more quickly. You may even leave the hospital sooner.
· You may have fewer complications after surgery. People whose pain is well-controlled seem to do better after surgery. For example, they don't have as many problems such as pneumonia and blood clots.