Many patients who come to the office tell me that they prefer to tolerate the pain without undergoing any treatment or taking any medication. However, that is not a recommended path.
Taking advantage of the fact that today is the World Day to Fight Painwe can ask ourselves if all pain is the same. And the answer is no, since we can classify it into different types. For example, we can divide it by acute and chronic.
He acute pain (which occurs during the first months) is the one that we all know best and it is a normal response of the body to an injury. For example, we hit ourselves and then the injured site hurts.
On the other hand, the chronic pain It is one that lasts more than three months and is a disease in itself where painful symptoms can persist even if one has already resolved the cause of the original pain. In other cases of chronic pain The underlying cause is still active.
Many patients who come to the office tell me that they prefer to tolerate the pain without undergoing any treatment or taking any medication. However, that is not a recommended path and there is a reason: the neurons that transmit painWhen they receive the same painful stimulus for a long time, they get used to it and can begin to send the painful stimulus alone, creating what is known as central sensitization. This continues afterwards, even if the initial cause of the pain has already been resolved. That is, just as acute pain is a useful response of the body warning of damage, chronic pain is a disease and is useless.
How is pain classified?
Additionally, we can classify pain according to type: somatic, neuropathic or visceral.
The first is the typical pain we know: we are injured and the pain signal travels through the neurons from the site of damage to the brain, where the sensation of pain becomes conscious to us.
In neuropathic pain, the damage is in the same neurons that transmit pain information to the brain (somewhere along the pathway) and is accompanied by other sensory symptoms such as tingling, greater or lesser sensitivity in the affected area, etc.
Finally, visceral pain is pain that occurs in the organs, is difficult to localize and is transmitted through another route to the brain, called the autonomic nervous system.
How do you get rid of pain?
Pain treatment varies depending on the type of pain we are treating and in general there are two forms of pain management that complement each other: pharmacological treatment (that is, taking different analgesics) or interventional pain treatment, which is what I do. The latter consists of procedures that we perform to try to improve the person’s pain or quality of life, including: blocks (with injections of local anesthetic and/or corticosteroids directly into nerve structures or joints), radiofrequency (where nerve structures are burned with a needle electrode) or neuromodulation (by implanting morphine pumps in the spine or neurostimulators in both the spine and the brain or peripheral nervous structures).
Dr. Damián Bendersky (MN 130405). Neurosurgeon (Instagram: @consultoriodedolor, website: www.consultoriodedolor.com.ar)
Source: Ambito
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