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Health In-Depth: June 2008


This month we take a closer look at:

Pain Management and Treatments

What is pain? Pain is your body's way of reacting to injury or illness. Everyone reacts to pain in different ways. You are the only person who knows what your pain feels like. What you think is painful may not be painful to someone else.

What causes pain? There are many reasons why you may have pain. Following are some causes of pain:

  • Injuries, surgery, or diseases such as cancer.
  • Pressure on a nerve.
  • Nerves cut in an accident or surgery.
Sometimes a reason for pain cannot be found. Not finding a reason for pain does not mean you are not having pain, or that the pain does not exist.

What is your pain like? Caregivers want you to tell them about your pain. Talking about where and when you hurt helps your caregiver find the cause your pain. Caregivers also want to learn what your pain feels like. Information about your pain will help them decide on the best way to treat it. You can use the following method to help you know more about your pain:

Why is pain control important?

  • Pain affects your entire body. Your body will work hard to keep you feeling normal. Imagine walking along on a flat surface, then walking uphill. As you go up the hill, at first you want to keep the same pace. After awhile it gets harder to keep the pace, so you are forced to slow down. That is what your body does when you have pain.

  • Pain affects your appetite (ability or desire to eat), how well you sleep, your energy, and your ability to do your daily activities. Pain can also affect your mood (how you feel about things) and your relationships with your family, friends and co-workers. If caregivers can help you control your pain, you may suffer less and heal faster.

What kinds of pain control are available?

  • There are many ways to treat pain. Some of them are actions you can take like biofeedback and meditation. Biofeedback is a special way to control how your body reacts to things like stress or pain. Meditation is a therapy that teaches you how to focus inside yourself. The goal of meditation is to help you feel more calm and peaceful.
      
  • Some ways to treat pain, like acupuncture (AK-u-punk-sher), are done by caregivers. Acupuncture is a treatment based on a belief that our bodies have channels through which fluids flow. Caregivers will insert very thin needles just under your skin. This is believed to open the channels allowing fluids to flow better.
  •  
  • Sometimes combining treatments works well. You and your caregiver may agree to try different methods of pain control until you find one or more ways that work well for you.
      
  • Pain medicines are one of the methods caregivers may offer you to help treat your pain. Other types of medicines such as anti-depressants and muscle relaxers like  Flexeril and Soma may be used with pain medicine for pain control.

    One kind of pain medicine is an opioid (OH-pee-oyd). Tramadol (Ultram) is a popular semi-synthetic opioid that effectively treats mild to moderate pain of all kinds. Tramadol combined with acetaminophen (Tylenol) is called Ultracet.

    Another combination pain pill is Fioricet - a powerful combination of the barbituate Butalbital and acetaminophen. Fioricet should only bne used for moderate to severe pain, and taken as needed.

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Ultram Tramadol
Ultracet NA
   

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Brand Name Generic Equivalent
Soma Carisoprodol
Flexeril Cyclobenzaprine
   

Pain Management Tip:


Keep a pain diary.
A pain diary will help you remember exactly what happened each day because it is all written down. A diary also helps track pain cycles. This will help you be more aware of when your pain is bad and how to make it better. A pain diary answers caregivers' questions about your pain over time. Think about the following questions. They will help your caregiver know where your pain is and what it feels like:

  • Where does it hurt? Where does it not hurt? Does the pain move from one area to another?

  • How does the pain feel? Try to choose words that tell your caregiver what type of pain you have. Is the pain sharp, cramping, twisting, squeezing, crushing? Or is the pain stabbing, burning, dull, numb, or a "pins and needles" feeling?

  • When did the pain start? Did it begin quickly or slowly? Is the pain steady or does it come and go?

  • How often does the pain bother you? How long does it last?

  • Does the pain affect your daily life? Can you go to work? Can you do your usual activities? Which activities are you unable to do?

  • Does the pain wake you up from sleep? Can you go to sleep without any pain medicine?

  • Do certain things or activities cause the pain to start or get worse?

  • Does anything decrease the pain like changing positions, resting, medicines, or changing your exercise schedule?

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