Posts Tagged ‘Pain Relief’

Controlling Cancer Pain

May 10th, 2011 by Tramadol
Terry OBrien asked:




The Pain caused by cancer usually falls into one of two categories:

Nociceptive Pain and Neuropathic Pain.

Nociceptive pain is caused by damage to tissue. It is usually described as sharp, aching, or throbbing pain. It is often due to tumours or cancer cells that are growing larger and crowding body parts near the cancer site. It may also be from cancer that has spread to the bones, muscles, or joints, or caused a blockage of an organ or blood vessels.

Neuropathic pain happens when there is actual nerve damage. It may be caused by a tumour pressing on a nerve or a group of nerves. People often describe this pain as a burning or heavy sensation, or numbness.

If you have been diagnosed with cancer pain, talk to your doctor to learn whether you may be a candidate for pain-control pump (intrathecal drug delivery). Your doctor (or a doctor to whom you are referred) will put you through a screening process to determine if these treatments may benefit you. Results vary; not every result is the same.

Key messages about cancer pain

The experience of pain will be different for every patient.

? Pain does not always get worse. The level of pain experienced may remain unchanged, or may increase or decrease. In any situation medication can be adjusted to ensure pain relief.

? Pain is not related to the extent of the cancer. Experiencing pain does not necessarily mean that the cancer is more serious than if you had no pain.

? Take action as soon as the pain starts. Take pain relief when you first start to feel uncomfortable. It is harder to ease pain once it has taken hold. Taking medication for pain relief when the pain is bearable will not make the medication less effective later. The aim is to prevent pain. If you wait until the pain comes back you will suffer from unnecessary pain.

? When pain relief is taken regularly or ‘by the clock’ (such as every 4 hours), there is little danger that you will become addicted to these drugs. Addiction to pain killers is very rare in women with metastatic breast cancer. The dose can be tailored to your needs. Doses are increased or decreased according to the severity of your pain.

? Drugs for pain do not usually make you feel drowsy after the first or second day. Drowsiness can occur with strong pain relief drugs like morphine. However, the drowsiness usually passes in one or two days. People vary in how the medication affects them. You should ask your general practitioner about whether you can drive or work with machinery, and the effect of drinking alcohol with your medication.

? If one drug does not effectively help your pain, many other drugs or combinations of drugs can be used to give you pain relief. There is a large range of effective drugs for pain of all types and severity. It may take time, in consultation with your doctor, to establish the drug or drug combination that is right for you.

? Any pain can be difficult to cope with. However, pain is more difficult to cope with if you are also experiencing anxiety or depression. Also, being in pain can make you more likely to be depressed or anxious. If you are concerned by the feelings you are experiencing, it is important that you talk to your doctor as soon as possible.

Why Do People Suffer With Pain?

Many people suffer with chronic pain because they are unaware of treatment options that can help them live more normal lives. Others have fears that prevent them from talking about their pain, which in turn creates barriers to seeking adequate relief. (Not all treatment options are applicable to your type of pain.)

Read the following to see if you fall into one of these categories. If you can relate to these fears, remember that help and relief are possible, but only if you discuss your symptoms with your doctor.

? Fear of being labelled a “bad patient.” You won’t find relief if you don’t talk with your doctor about your pain.

? Fear that increased pain may mean that your disease has worsened. Regardless of the state of your disease, the right treatment for pain may improve daily life for you and your family.

? Fear of addiction to drugs. Research shows that the chance of people with chronic pain becoming addicted to pain-relieving drugs is extremely small. When taken properly for pain, drugs can relieve pain without addiction. Needing to take medication to control your pain is not addiction.

? Lack of awareness about pain therapy options. Be honest about how your pain feels and how it affects your life. Ask your doctor about the pain therapy options available to you. Often, if one therapy isn’t effectively controlling your pain, another therapy can.

? Fear of being perceived as “weak.” Some people believe that living stoically with pain is a sign of strength, while seeking help often is considered negative or weak. This perception prevents them seeking the best treatment with available therapies.

Management of Pain and side effects

You may experience acute pain due to your illness or after surgery. You do not need to put up with this pain, your health care team can work with you to prevent or control just about any kind of pain. A combination of pain control methods may be used to give you greater relief from pain.

Don’t let pain control you! Because there are many new ways to treat pain, it is important that you speak openly and honestly with your doctor or with a doctor who specializes in treating chronic pain.

Terry O’Brien

BackTrouble UK.

Links:

http://www.BackDoctor.org.uk

http://www.BackTrouble.co.uk



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The Best Exercises For Frozen Shoulder Pain Relief

April 30th, 2011 by Tramadol
Steve Maltas asked:




The only way to permanently cure your pain is to perform the correct exercises for frozen shoulder pain relief. I first want to describe exactly what causes the pain and reduces your range of motion. After that I will describe my favorite do-at-home exercises for frozen shoulder pain relief.

Adhesive capsulitis, a frozen shoulder, occurs when the connective tissue in your shoulder joint becomes stiff and inflamed. This tissue begins to grow together, which is what greatly reduces your range of motion and causes chronic pain.

The most common strategy to relieve the pain is to try over the counter anti-inflammatory pills, cortisone shots and lots of ice packs. This is what I like to call the sprained ankle treatment. The sprained ankle treatment should relieve the inflammation periodically, but exercises are required to break up the connective tissue and restore the proper range of motion.

Another common method of relieving shoulder pain is by wearing a brace. A brace will help lower the pain by preventing you from moving your shoulder and aggravating it. Wearing a brace is one of the worst things you can do. It might be necessary to wear a brace to perform certain tasks, but not using your shoulder will cause it to further stiffen.

The keys to curing your shoulder are slowly forcing an increase in your range of motion (this will hurt), strengthening your shoulder so it won’t happen again and working hard as it is not easy. Range of motion exercises for frozen shoulder pain alleviation are the only way to permanently fix your shoulder.

Below are my two favorite exercises for frozen shoulder pain alleviation:

Put the knee opposite of the injured shoulder on a chair and lean forward. Allow the painful shoulder to hang. Swing your arm in a circular motion. Increase the radius of the circle periodically. Kneel on the floor with your butt resting on your feet. Raise both arms as far as possible and lean forward while trying to push your head into the ground. Keep your arms straight and your palms should touch the floor leading to a stretch in your shoulders.

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Tens Units – An Alternative Therapy For Pain Relief

February 20th, 2011 by Tramadol
Gary Gordon asked:




Pain management is a growing and changing industry. A safe, effective, non-addictive treatment seems like the unreachable Holy Grail, but many patients feel they have found it through the use of TENS units. Treatments which were once thought to be quack medicine is now proving to be as effective and safer than many of the current drug therapies. There is an increasing need for managing pain as the baby boomer generation begins to age and chronic, age related aches and pains begin to arise. Rather than turning to costly and potentially dangerous pain medications, many patients are looking for other ways to alleviate their pains, such as can be found in the use of TENS and portable TENS units.

T.E.N.S. units stands for Transcutaneous Electrical Nerve Stimulation. Transcutaneous literally means across the skin. These units work to alleviate pain by sending a mild electrical pulse through the skin to stimulate the nerves beneath. The specific nerves targeted will determine the area of pain relief. When using these, the patient should be sure to use a cream that is designed especially to help conduct electricity from the unit through his skin. This will increase the effectiveness of the treatment. While the treatment must be repeated every few hours for continual pain management, there are portable devices to make this more convenient for the patient. Portable TENS units should be lightweight and easy to carry. In many cases they can be worn next to the skin. If this is the case, the units need to either be battery operated or rechargeable.

Pain easement in almost any part of the body can come from using a TENS unit. There are certain body parts where a physician should supervise the use of the unit in order to prevent injury. In cases of pain in the neck and head, the patient should first consult with his physician. The doctor might even have a unit for the patient to use in his office. In any case, patients should never use a TENS or portable TENS unit on their face, head, or neck without discussing it with a physician. All of the nerves in your body converge on the brain in your head. Many nerves that control the heart and other vital body operations run through the head, and without a doctor’s supervision, the patient might stimulate the wrong nerve, which could lead to injury. Additionally, patients who are equipped with pace makers should not use electrical nerve stimulation since the charge could interfere with the pace maker’s operation. Those who are pregnant, nursing, have diabetes, metallic body part replacements or plates, have heart conditions or high blood pressure should talk to their physician before using electrical stimulation of the nerves.

TENS units are not a permanent solution for chronic pain and may result in gradually decreasing benefits when used over a prolonged period of time. TENS units may also mask the pain while having minimum impact of the treatment of the injury. TENS units are not recommended as a substitute for regimented physical rehabilitation therapy programs, but may be used in parallel with physical therapy. Most stationary TENS or portable TENS units require a doctor’s prescription. Since settings and options vary from unit to unit, always consult with a doctor or a chiropractor about the proper use of your TENS unit.



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Back Pain Relief

February 14th, 2011 by Tramadol
Macgrath asked:




Back pain related to the muscles affects around 30% of the overweight American population. These same patients also report suffering from fatigue and running out of breath often. Both these conditions in turn make matters worse for the patient due to their inability to properly exercise and lose the weight.

When you lead a sedentary lifestyle, your muscles and surrounding tissues begin to disintegrate and can actually atrophy. When this occurs, any kind of activity can create strain that causes chronic back pain.

Your body depends on activity to remain healthy, but not just any activity, the right activity. You see, exercise helps to keep all the systems of your body working smoothly. That fact holds true for, not only your joints and muscles, but for your neurological and lymphatic systems as well. Let’s take a look at some other contributing factors to your chronic back and neck pain.

Strengthen all of your core muscles as you train. Remember that your core is more than abs: include your hips and back muscles. Spend more time strengthening your back-side muscles than your front-side muscles.

For certain individual’s spinal fusion can give almost immediate relief, although there is always the risk of post surgical complications as well as the possibility that the spinal surgery is not successful in correcting the back pain problem.

Basically, the primary purpose of exercising one’s back is to build strength and improve flexibility. The key here is that you should not overdo them. There is quite range of exercise for you to choose from. Some of them are backward bending, hip extension, press ups, pectoral stretch, side bending etc.

Back pain, especially lower back pain, is one of the most common types of pain reported in the U.S. It is probably just as common in many other countries, since it is often brought on by improper lifting techniques or unaccustomed exercise.

When no specific cause is apparent, the term NSLBP (nonspecific low back pain) is used. Any number of reasons for this pain can include degenerative disk disease, psychological issues, systemic disease, facet syndrome (similar to pinched nerves symptoms), herniated disk, spondylolisthesis or the forward displacement of one of the lower lumbar vertebrae over the vertebra below it or on the sacrum. Other factors could be spinal stenosis or constriction or spondyloarthropathy (disease affecting spinal joints).

Eazol is another type of back pain product that relief back pain by using natural ingredients such as White Willow, Lobelia and Boswellic acid. It is meant for long term use and since it’s made from natural ingredients, it’s safe for all ages to consume.

Another good advice is trying to find the optimal body positioning when driving, sitting in front of a computer, reading, gardening, and most important of all, when sleeping, to reduce back and neck pain. Sleeping in a proper position can be easily achieved with the right accessories; this is the reason why doctor’s advice patients who look for back pain help to get a leg pillow like the Leg Wedge Pillow.

Holistic treatment will address many possible causes of your pain. If you do not find the deeper source of your pain, you will only treat symptoms and the pain will return. Therefore, holistic medicine may be more effective at keeping your pain away long-term.

Read about joint pain relief . Also read about arthritis natural remedies and natural anti inflammatory



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Best Ways to Achieve Migraine Pain Relief

February 11th, 2011 by Tramadol
Dan Irwin asked:


When a migraine strikes it totally shuts a person down. Life is essentially brought to a standstill . When dealing with a migraine headache, a person generally cannot deal with any kind of light or any loud sounds. All one can do is lie in a darkened and still room. Nevertheless, the pain can be extremely hard to deal with. Therefore, it’s very important to find some sort of migraine pain relief.

There are many different possibilities for relief that a migraine sufferer can try. Medications can be prescribed by your family physician, home treatments can be tried, as well as techniques that can be used in an effort to decrease the severity of a migraine headache. Of course, migraine pain relief can also be had by doing what needs to be done so that the migraine is never triggered in the first place.

Many people see their physician for help in dealing with migraines. There are many medications that are quite effective in providing migraine pain relief. With the majority of medications, those who suffer from migraines simply need to recognize when a migraine is developing and then take the medicine. However, sometimes a certain medication doesn’t work and other medications have to be tried.

There are also pain releivers that can be bought over the counter. Some individuals find that these work bery well for them. It is all dependent on the individual and the precise pain reliever that is being used. Keep in mind that if one is not effective, then you should use a different one.

Home remedies are also an effective means of providing some sort of migraine pain relief. Magnesium and feverfew are just a couple examples of home remedies that work well on migraines.

Of course, the best way to get migraine pain relief is to stay away from what triggers the migraine in the first place. If you can determine what causes your migraine headaches, of course avoiding them will become easy which, in turn, will provide you with migraine pain relief.

Of course, an effective treatment for migraine headaches is whatever works for a given individual. Since no two people are alike, it’s up to each person to figure out what causes their migraines and what works in stopping the migraine. While there are many effective medicines on the market, there are also effective natural remedies, In addition, finding what causes a migraine and then avoiding that trigger is the most effective way to deal with migraine headaches.



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Home Remedies for Earache – Quick Pain Relief Tips

February 2nd, 2011 by Tramadol
Dr John Anne asked:




Otitus is the medical reference. For those experiencing it, it’s referred to as an earache. Beyond the medical terminology of otitus, in common terms, is an infection of the ear. Encyclopedic definitions of such condition are of either an inflammation or infection of the ear, that, among those experiencing it, label such as an earache. Within categories of otitis are several types of ear infections that result in earaches, which lend such maladies to many beneficial treatments through home remedies for earache.

In determining the type of infection, in order to obtain optimal options for home remedies for earache, one should understand the ailments, by their symptoms, in order to alleviate accordingly. Hence, definitions, among the variety of ear infections leading to the pain, for the purposes of applying the best home remedies for earache, are described, as follows

Casually referred to as “swimmer’s ear,” the ear hurts upon its being pulled or touched, as it concerns both the ear canal and the outer ear.

In its clinically termed otitis externa or external otitis, the ear is either plugged or infected by fluid gathering in back of the eardrum, in the area of the ear that generally contains air, or, in another classification, the middle ear, which is experienced by an earache. Such ailment, labeled medically as otitis media, is prevalent amongst children.

Contributing causes to the majority of earaches associated, in almost all instances, with ear infections, can be related to many such elements, including being licked in the ear and swimming pool water, of which can aid individuals towards preventative Contributing causes to the majority of ear infections can be related to many such elements, including being licked in the ear and swimming pool water, of which can aid individuals towards preventative home remedies for earache.

Aches and pains associated with earaches are due to a combination of fluid and inflammation lodged within the middle ear that fails to drain. Such obstruction applies pressure to the eardrum. Within the fluid, a bacterium propagates and develops. A home remedies for earache in this instance is to obtain a natural substance labeled colloidal silver. Drop the colloidal silver right into the ear. This particular substance is claimed to alleviate both the associated pain and swelling within an hour. Continue such practice of administering this treatment to the affected ear or ears for a period of five days, morning and night. Colloidal silver is a natural antibiotic.

For a hurting ear, as a home remedies for earache, obtain natural sweet oil and cotton balls. Drop an ample amount of the sweet oil inside the ear. To ensure that the oil remains in the ear, in order to alleviate the pain, gently, though securely, place a cotton ball inside the ear. The afflicted individual should lie down on the opposite side of the affected ear for best results.

Yet, another home remedies for earache in the relief of earaches that are associated with infections, prepare a towel, along with some lemon juice that can be dispensed by squeezing. Arrange the towel around the ear, so that the juice cannot stream into hair, face, neck or clothing. Then, squeeze the lemon juice directly into the affected ear. By the afflicted individual tilting their head, by positioning, hold the lemon juice in the affected ear for several seconds. Then, by convenience provided by the towel, the head of the affected should be tilted, so that the juice can drain out from the ear. The science behind this treatment, among the home remedies for ear ache is that the properties within the juice altars the Ph levels within the affected ear. Since the bacteria are a base, the acidic juice neutralizes the Ph level within the ear, hence causing a rapid evacuation of the bacteria from the affected ear.

One home remedies for earache requires only one ingredient ajwain oil as a natural eardrop as a measure in relieving earaches.

In relieving the pain of an ear that hurts, due to the numerous subdivisions of ear infections, among those home remedies for ear ache, will involve a clean and long men’s sock, one cup of rice (any variety), and, a microwave. Pour the rice into the sock. Bind or tie the sock to secure the rice within it. Place the rice-filled sock into the microwave for sixty seconds. Apply the heated rice-filled sock onto the ear. This application has a duel purpose, in alleviating the source of pressure creating the discomfort, along with draining the build up of fluid within the ear. For optimum results, reapply this process frequently.

A suggested home remedies for earache concerning the fungus associated with swimmer’s ear incorporates the use of vinegar, as its properties effectively treat such condition. The formulation’s recipe is simple, as white vinegar is mixed with water that is clean, at a fifty, fifty ratio. To administer, drop the blended solution into the ear. Then, wiggle the ear for proper distribution.



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Epidural Analgesia-pregnancy

December 16th, 2010 by Tramadol
Robert Baird asked:




Many women find the pain of labor too intense to bear without effective pain relief, and an epidural analgesia provides the best pain relief compared to all other methods. In the US, more than 80 percent of first-time moms ultimately have an epidural analgesia, other take a wait and see attitude.

How It Works

Epidural analgesia works by delivering very small doses of an anesthetic through a hollow tube to the epidural space, which surrounds the spinal cord. The anesthetic numbs nerves from the waist down, including the uterus. Epidurals are given by an anesthetist. You will have to bend forward so that he or she can guide the hollow tube through a needle and in to the correct position. You will have a local anesthetic first, which may sting a little, but other than that you shouldn’t feel any pain as the epidural is placed. Once the tube is in position, it is taped to your back to secure it so that more anesthetic can be given easily at any time.

An epidural takes about 20 minutes to administer. Most women notice pain is reduced almost immediately, but the full effect may take 15 to 20 minutes. The benefits of epidural analgesia are that pain control is excellent and that very little medication escapes in to your blood stream. This means that you are mentally alert, and your baby is not sleepy after birth from pain medication crossing your placenta. The other benefit of epidural analgesia is that medication is being given continuously, so you have pain relief for the entire duration of labor.

Types Of Epidural

More modern epidurals, such as the mobile epidural use the least amount of medication possible, allowing you to move your legs (but not usually walk) and to feel pressure as the baby’s head moves down the birth canal. Women who feel pressure can push more effectively, reducing the likelihood that they will need a cesarean or forceps delivery. Some hospitals allow you to control the epidural yourself by pressing a button that slowly releases more of the analgesic. Another type is the combined spinal epidural analgesia, in which a small amount of medication is injected in to the spinal space before the epidural tube is placed. This provides faster pain relief and is often used for women who are close to delivery when the epidural takes place, or when a cesarean delivery is needed.

Timing The Epidural

Many physicians will delay offering an epidural until you are 4cm dilated. However, this is an arbitrary cut off, so if your pain is very intense an early epidural is still an option. Discuss the various scenarios with your care provider before you go into labor.

Side Effects

Like all medical interventions, epidural analgesia has side effects for you and for your baby, although the chance of a serious side effect is very small.

Longer Labor

Most studies of epidural analgesia suggest that contractions are weakened, which means there’s more chance that you will need oxytocin to return your contractions to their normal strength. On average, choosing epidural analgesia will prolong the active phase of labor by about one hour. Epidural analgesia can also prolong the pushing stage of labor by up to an hour. Since the pushing stage is often exhausting, an epidural can make it more likely that your care provider will suggest a forceps delivery.

Increased Use Of Forceps

Epidural analgesia decreases your ability to push effectively and approximately doubles the chances that you will have a forceps or vacuum assisted delivery. Asking for your epidural analgesia to be turned down before you start to push may increase your chances of being able to push effectively and avoid a forceps delivery.

Fever

Choosing epidural analgesia quadruples your risk of developing a fever during labor. Although most experts don’t believe the fever is related to infection, you may end up being given antibiotics during labor. The longer you have the epidural, the more likely you are to have a fever.

Inadequate Pain Control

About 9-15 percent of women still have significant pain despite epidural analgesia. While this can sometimes be treated by giving additional medication, or by replacing the epidural catheter, pain control cannot be achieved in all women.

Itching

Up to 26 percent of women with epidural analgesia will have itching, which is usually treated with IV medication.

Rare Side Effects

There is a small risk that the anesthetist may puncture the sac covering the spinal cord, causing spinal fluid to leak out. This can result in a severe headache that may be difficult to treat.

Myths About Epidural Analgesia

One of the big myths about epidural analgesia is that it is responsible for chronic back pain. But studies have found instead that pregnancy it self is responsible for back pain. Women who have back pain during pregnancy are more likely to have back pain after they have delivered. While you may have a sore spot and a small bruise on your back after epidural analgesia, choosing epidural analgesia does not place you at higher risk for long term back pain. A second popular myth is that it will affect your ability to breastfeed. However, most studies have not found that epidural analgesia affects ultimate breastfeeding success. Your baby is much more likely to be sedated after large doses of narcotics given by injection, than from the small amount of narcotics used in epidural analgesia.



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Buy Tramadol To Help Stop Migraines In Their Tracks

December 2nd, 2010 by Tramadol
Leon Belenky asked:




Migraine headaches are no fun.  When you feel a migraine coming on, you want to reach for something that will work for you.  Even if the headache has arrived, you want a medication that will help reduce the pain so that you can function at work and get on with your life without being completely miserable.  For this reason, you want to move past your other choices and buy Tramadol to stop migraines in their tracks.

When you buy Tramadol, you aren’t getting something that will merely dent the pain for an hour or two and then pass out of your system.  You are getting a medication that is recommended for moderate to severe pain, so it is capable of taking on the serious throbbing that comes with a real migraine.  Tramadol is medication for real people with real pain, not passing twinges.

Tramadol works because it moves into the dialogue that your body is having with your brain and cuts out the pain messages.  You buy Tramadol to get your brain to remind your body that it isn’t hurting any more.  This can help calm down the muscle groups that flare into action when a migraine strikes, delivering twitching facial muscles and neck spasms that can have you whimpering.

As a result of interrupting the pain conversation, Tramadol lets your body quickly move past the pain you are experiencing.  You will be able to stay at work for the rest of the day and interact normally with your family.  You won’t have to curl up and cry over the pain as your migraine takes you down – instead, you can fight back with something that actually works to give you relief.

Tramadol also provides lasting relief from your pain.  When you buy Tramadol, you get a medication that can stay in your system for up to 6 or even 9 hours.  This allows you to take just one dose and get noticeable pain relief instead of having to take pills over and over again just to cope.

Migraine headaches are no fun, but you can fight back and stop them in their tracks when you buy Tramadol.  Powerful, effective, and long lasting, Tramadol has the ability to short circuit the pain conversation your body is having and let you feel like you can go on with your day in a pain free way.



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About Ultram and Chronic Pain

November 19th, 2010 by Tramadol
Bill Johnson asked:




If you’re using Ultram for chronic pain, you are not alone. This medication is quickly becoming one of the first choices for doctors and patients alike. Many are using Ultram for chronic pain and finding relief with their choice.

Ultram is what is called an extended release medicine, meaning that the medicine continues to break down in your system over the course of a 24-hour period, giving you continuous relief throughout the day. This is as opposed to a medication like aspirin, which breaks down almost immediately and gives you some relief but wears off just as quickly. Using Ultram for chronic pain is good for those who have problems day and night with their pain and cannot get relief even when in bed or when trying to sleep.

Ultram for chronic pain is also preferred among so many sufferers because it is very easy to take. The dosage is one pill a day, every day. You can take it on an empty stomach or after you’ve eaten, so you can choose the time of day you take the pill; you just need to take it at the same time every day. This makes it very easy for those who have a hard time remembering to take their pill after a meal.

Those who are taking Ultram for chronic pain report great results. While they still typically have some limitations and there are of course side effects, many have a tremendous amount of relief from their pain consistently. If you are considering use Ultram for chronic pain, you should definitely speak to your doctor, and if this medication is prescribed, be sure you follow his or her instructions carefully.



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Treatment Options for Pain Pill Addiction

October 20th, 2010 by Tramadol
Jeffrey T. Junig asked:




Many people go to their doctors for treatment of an injury and are given a narcotic medication like vicodin or Percocet. These medications work initially, but over time two things happen; they tend to lose their effectiveness, and when a person stops taking them the person feels very sick. Both of these are signs of physical dependence, and are referred to as tolerance and withdrawal.

The medications that people take for pain relief have effects on how the person feels that go beyond their help with pain; people feel a sense of warmth and pleasure from the medication and often use the medication to temporarily relieve anxiety, tenseness, insomnia, or even fatigue. When the medications are stopped on the other hand the person has ‘rebound’ of these symptoms, and feels much worse than before starting the medication. Because of tolerance, patients often take more pills than prescribed, causing them to run out early; when they call the doctor they are suddenly treated as if they have done something wrong. Sometimes they are scolded; perhaps it is even worse when nobody says anything out loud, but instead the patients detects ‘little looks’ from the doctor’s staff or rude treatment that suggests that people in the office are thinking of them in a negative way. Patients wonder if they are imagining things, or if people are really talking about them.

Trouble at Home

At home the patient on pain pills becomes more and more irritable. He is worried about running out early and having the return of pain, or even withdrawal symptoms. He feels sick more often. He has become more depressed. He starts to feel as if nobody understands him, and he takes more and more of the pain pills to try to keep his mood and energy level up so that he can go to work. The fights at home become more and more frequent, and he feels more and more alone inside.

Recreational Use of Pain Pills

In other cases this same sequence will occur, but instead of starting win injury it starts with experimentation. A person is given the pills by a friend, or finds them in a parent’s medicine cabinet. Or maybe the person has been feeling down, and notices that the codeine that they took for their wisdom tooth surgery made them feel better, and so makes up an injury so that the doctor will prescribe more. In all of these cases the people involved become more and more depressed and more and more sick and tired, eventually reaching a level of desperation. This is the good outcome; other people find medications that are more and more potent, and accidentally take too much— causing a fatal respiratory arrest.

Treatment Options

Until recently there was one primary treatment for this type of addiction— residential treatment for one to three months in a treatment center. Yes, another option is to attend AA or NA (Narcotics Anonymous) meetings, but meetings alone rarely make headway against opiate dependence. Another option that has been available is ‘maintenance treatment’ in a methadone program. This type of treatment carries a number of inconveniences, including the need to report to the treatment center each morning to receive the medication.

We now have a third treatment option— buprenorphine or Suboxone— that has saved countless lives. This treatment option is almost universally effective given one requirement: the person must be truly sick and tired of taking the pills and must be motivated to get better.

If you or a loved one suffers from addiction to these medications I strongly encourage you to seek out more information and to learn about your options. Life is too short to remain miserable.



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