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    Home > Active Ingredient News > Study of Nervous System > Lao You Za Tan 83 This is a protracted battle!

    Lao You Za Tan 83 This is a protracted battle!

    • Last Update: 2021-10-01
    • Source: Internet
    • Author: User
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    Chronic pain is extremely common worldwide
    .

    The World Health Organization summarized the prevalence of chronic pain from 10 developed countries and 7 developing countries and found that the prevalence rates were 37.
    3% and 41.
    7%, respectively
    .

    Research in the United States shows that at least 100 million American adults suffer from chronic pain, more than the total number of people affected by heart disease, diabetes, and cancer.
    They spend approximately $600 billion on this every year
    .

    The most common type of chronic pain is musculoskeletal pain, especially joint pain, back and neck pain caused by arthritis, migraine and severe headache.
    The most common disease that causes chronic visceral pain is irritable bowel syndrome
    .

    We know that pain is a defensive signal, and its normal function is essential for human survival
    .

    Chronic pain is an experience with multiple causes of intervention and varies from person to person.
    It is often associated with comorbidities such as anxiety, depression, catastrophe, and disability, and can be exaggerated in these situations
    .

    Chronic pain is not a simple prolongation of acute pain in the time dimension.
    It is a special challenge for medical workers, requiring different diagnostic methods and management strategies
    .

    The goal of chronic pain management is not to eliminate this defensive signal, but to adjust the body's signal threshold so that the body no longer sends the wrong defensive signal
    .

    Primary care doctors, surgeons, and emergency department doctors are at the forefront of pain management and play a key role in initiating and formulating long-term treatment strategies
    .

    Other key components of the comprehensive pain management plan include: treatment of underlying diseases; combination of multiple drugs, including muscle relaxants, antidepressants, antiemetics, topical drugs and traditional analgesics, so as to optimize the treatment effect and reduce side effects minimized; the use of psychological interventions and physical therapy, acupuncture and consider the physical and mental therapy
    .

    In the treatment of chronic pain, all commonly used analgesics have significant limitations
    .

    Long-term use of acetaminophen can cause liver damage, while drinking alcohol will aggravate its damage; non-steroidal anti-inflammatory drugs have potential severe nephrotoxicity, gastrointestinal and cardiovascular system related side effects; long-term use of opioids can cause Drug tolerance, hyperalgesia, addiction and abuse
    .

    The management of chronic pain is a protracted battle.
    Both clinicians and patients need to fully understand the complexity of the disease, establish correct expectations and formulate long-term strategies.
    The unrealistic expectations of "quick fight" may become patients.
    The source of iatrogenic anxiety will also prompt clinicians who expect immediate results to use unnecessary drugs, increase drug dosages too quickly, and take excessive intervention measures
    .

    The placebo effect of chronic pain is ubiquitous.
    Although placebo effects in randomized controlled trials occasionally have a large impact, they generally only cause mild to moderate changes that are still clinically significant
    .

    A good doctor-patient relationship can enhance the effect of placebo treatment
    .

    In view of this, the historical slander of the placebo effect should be discarded in clinical practice and considered as an inherently valuable component of clinical treatment
    .

    Of course, we also need to carry out more relevant clinical research to understand how clinicians can use the placebo effect in the best and ethical way to reduce pain
    .

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