Pain management is an important part of treatment especially in situations where the patient is to go through intense like during chemotherapy for cancer patients or after going through surgery. Nobody will like to have intense pain maim him for even the least amount of time. People like to be happy and avoid anything that may bring them pain. However in some instances there has to be pain for a much serious health problem to be solved. To manage pain certain drugs are used that helps you to endure the pain, unfortunately most of these are addictive and so as you are using them to manage pain you are at risk of addiction. Opiates are the mostly used drugs in pain management and they work well in ensuring that your pain is moderated if not done away with completely. However effective they are these drugs are very rewarding and before you know it the body may be adapted to these drugs so much that you will feel like you need to take them every time and increase the dosage over a time. Due to their rewarding nature they can be easily abused and a treatment that once began on the right foot may end up being another nightmare in a person’s life hence there is need for actions to be taken to help patients not to be addicted to this pain drugs.
Now back to the point pain and addiction may occur as a continuum or just two different entities. Here we see how pain addiction continuum occurs and how to deal with it. When the drugs are given for pain management you will be using them for just that for quite a time without feeling the intense craving for them. But as time goes by and you are still using them you will begin to have craving for these drugs not only to use them within the specified dosage but you may begging to desire mega doses which is now addiction so pain addiction continuum is rather the changes that takes place in your body demanding for more of the drug and hence dependence on these drugs. The use of opiates in pain management may work well for some people while for others it may not and their treatment may work better if they stopped using the opiates therefore it is important to work with experts in this field who will know when to use and when to stop using these opiates to avoid the dangers of addiction that may come with them. This means that the treatment must have a clear exit strategy from the opiates to help the patient overcome the cravings for more of the pain drugs.
Pain management demands that the doctor must be able to assess the patient well that is before issuing a prescription and during the course of treatment. The doctor should improve patient care by bio psychosocial model assessment of the patient’s past and even present aberrant if any of such exist. All this will help the doctor decide on how best to prescribe the drugs in dosages that will reduce risks to addiction. Today the doctors are aware that pain management drugs poise a great threat to addiction in patients unlike in the past when it was thought that if a patient did not have a history of drug abuse disorder. The risk of getting addicted to the opiates used in pain management is higher and this fallacy and past belief that it had low chances of inducing addiction in patients with no history of substance use disorder has never served this industry. It is quite fortunate that avenues are now opening as the doctors are slowly waking up to the reality of pain addiction continuum and proper exit strategies are being developed to help the cancer patients to evade addiction. The addiction that arises from use of opiates in pain management may be caused by many factors but the biggest culprit is poor management of chronic pain.
Now that we have learnt that there is risk of addition from the use of pain management drugs like the opiates it is better to exercise better management of chronic pain. Today chronic pain is one of the nightmares that many people are fighting every day. These people can use anything given to them to kill that pain without thinking twice and this shows how vulnerable they are. It therefore calls for professionalism in dealing with these people and doctors must find better ways to manage chronic pain in a way that reduces their risk to addiction.
In the past pain had been poorly manage owing to such beliefs that I have discussed above. Patients were put on opiate drugs to kill pain without assessing them and this often led to serious health problems since every patient is unique owing to the fact that they have different history relating to the substance use disorder. There is also need to explore other ways of pain management methods as opposed to singly using the opiates in pain management. Some of the natural pain management methods that work better are discussed here.
Prolozone™ Therapy– Dr. Frank Shallenberger pioneered this type of proliferative therapy, Prolozone therapy uses ozone, a naturally occurring form of oxygen with powerful regenerative capacity owing to its extra oxygen atom. It works by increasing oxygen circulation and delivery into the damaged areas. This helps in strengthening ligaments and tendons as well as in rebuilding cartilage in the treated joint.
Prolotherapy– this therapy was pioneered by Former U.S. Surgeon General Dr. C. Everett Koop who had used it successfully to treat his chronic back pain. It is the oldest and most widely used form of proliferative therapy that has been used since the 1930’s.it involves injecting a natural substance such as dextrose to purposefully provoke mild localized inflammation. This increases the blood supply and flow of nutrients to the area, and the body responds by regenerating the damaged structures.
Platelet Rich Plasma Injection (PRP) Therapy -involves the use of the body’s own platelets for treatment of pain. It involves drawing a small amount of blood that is centrifuged to separate out the plasma this creates blood that is concentrated in platelets. The high concentration of platelets in the plasma is rich in bioactive proteins and growth factors that can accelerate tissue repair and regeneration. Today this therapy is become more popular with athletes.
Here at AWAREmed we are dedicated to finding the best solutions to chronic illnesses and that is why Dr.Dalal Akoury (MD) is always in the forefront advocating for integrative medicine since it is only through integrative medicine that a person can be healed wholly. Do not hesitate to call on her for help in managing any sort of chronic pain as well as other diseases.