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Multimodal Therapy: Treat chronic pain NDR.de – Guide



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From: 03/15/2019 20:07

Pain is an individual experience. They are perceived very differently from person to person and from situation to situation. It has been scientifically proven that under-treated acute pain is one of the most important risk factors for developing chronic pain. Pain is chronic if it lasts more than three to six months. According to the German Society for the Study of Pain, more than twelve million people in Germany live with chronic pain. Often, sufferers suffer years of suffering before they really find help.

Joint and nerve diseases often cause suffering

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Often, too little a diagnosis leads to the pain becoming chronic.

The starting point for chronic pain is often disorders or poor posture of the musculoskeletal system, such as muscle tension, osteoarthritis, osteoporosis and rheumatic diseases. Tension on the body such as the pelvis can "have very strong effects on the legs, back, sometimes on the spinal cord," explains the movement of Doc Christian Storm.

But nerve pain – the so-called neuropathic pain – as a result of surgery, injuries, metabolic diseases or cancer can permanently affect the quality of life. Pain can occur in all parts of the body. Legs, arms, head and gastrointestinal space are often affected. Disorders of chronic pain include fibromyalgia syndrome and complex regional pain syndrome (CRPS). In addition, pain can be the leading symptom of mental illness.

This creates a spiral of pain

Chronic pain has lost the original pain function as a sign of physical hazards. Instead, they became their own disease. Persistent pain makes the nerve cells, the spinal cord and the brain more sensitive to pain. The result is that even small stimuli are perceived as pain. During the illness, memory pain develops (central sensitization), which also lasts until the actual cause of pain is no longer present. The result is a self-reinforcing mechanism – a painful spiral. Dr. Jorn Klassen of nutritional documents speaks of a "vicious circle," which says: "Acute pain leads to less movement and refraining from further pain," said the doctor.

Loss of vitality and social isolation

Inactivity caused by pain often leads to social isolation. Affected loss of life, avoidance of contact, stress or depression. Professionally, people with chronic pain quickly become secondary – many are at risk of losing their jobs or even early retirement.

The risk of chronic pain has increased over the years

Older people are less likely to complain about the pain than young people. The widespread idea that pain in old age is normal rarely leads to adequate treatment. Changes in the age-related brain affect the perception of pain: the threshold of pain increases in age, pain tolerance is reduced.

Treatment with multimodal therapy approach

Although chronic pain is recognized as a disease itself, finding a path to a specialist is often problematic. Also, patients must be aware that the therapy can be severe and difficult. In the meantime, doctors usually treat a multimodal therapeutic approach, i.e. Therapies from different disciplines. In multimodal therapy, drug therapy, physiotherapy, manual therapy, massages, psychotherapy, ergotherapy and relaxation therapy such as meditation or progressive relaxation of muscles can be used. If outpatient therapy does not lead to success, a hospital stay in a hospital for pain can make sense. The main goal of the treatment is to increase the quality of life – if necessary with the pain, which in many cases never disappears completely.

Individual tailor-made training

Especially important is physical training, especially in joint diseases or muscle tension. It should be adapted to the individual's individual performance. In addition to agility, you also need to train strength and endurance, as well as coordination and balance. The correct amount of tension and relaxation is important.

Psychological measures, such as relaxation procedures, talk therapy and pain relievers, support therapy. In addition, social training can help to find the way out of isolation into everyday life.

Stop taking medication remedies with a doctor

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First, ask a doctor: Many painkillers are not suitable for the fight against chronic pain.

Long-term use of pain medications should be done under the supervision of a physician and, if possible, follow physiological and psychological therapies. The task of analgesics is to permanently reduce the intensity of pain and thus make the pain a little more tolerant. Therefore, regular input is recommended. Pain reduction is often a prerequisite for exercise and is therefore particularly important to counter the causes.

It is recommended to take great care when taking non-prescription analgesics, which are called NSAIDs – such as acetylsalicylic acid (ASA), diclofenac and ibuprofen. Prolonged intake can lead to significant side effects such as stomach bleeding and liver and kidney damage. In addition, pain medication must be carefully coordinated with other necessary medications to reduce the risk of side-effects.

Additional information

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03/18/2019 | 20:15 clock

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