"I have a headache for several years, but I went to the hospital for a few checkups, but I still couldn't find the cause."
"I have a long-term abdominal pain, I took medicine, and had a test, and I didn't know what disease I had."
"The pain is really unbearable. My father's calf pain a few years ago, and I didn't pay attention to it. Later, when I found out, it was late-stage cancer ."
Chronic pain is familiar to many people. Especially the pain that occurs repeatedly and cannot be found in the hospital for examination, it is even more painful. Some people have pain in their bodies and endure it without checking, while others even feel that they can't bear it, just pretentious.
In fact, pain can be treated, and some pain in some places may be a signal given to you by the body.
1. Chronic pain is really deadly, there may be 4 root causes
American researchers conducted a research project involving 440,000 people and found that 2 adults had chronic pain problems. Big data also shows that the incidence of chronic pain is increasing regardless of gender, age, race, education level, income and other information.
From the perspective of clinical knowledge, the causes of chronic pain can be mainly divided into four categories:
First of all, soft tissue pain occurs in the human fascia, joints, ligaments and other parts of the human body, especially after the degenerative joint lesions become more common after age, The elderly are more susceptible to soft tissue pain.
Secondly, Sitting for a long time, strain and other bad habits can cause lesions in joints, spine and other parts, and then cause spinal-related pain.
In addition, postherpetic neuralgia, trigeminal neuralgia, etc. are all painful symptoms caused by lesions of .
And when tumor continues to invade human nerves, it can cause cancerous pain.
Most people’s attitude towards chronic pain is “tolerate if you can”. They will not seek medical treatment without the need, but can the chronic pain be passed by if you really endure it?
comes from Fan Bifa, director of the National Pain Diagnosis and Treatment Research Center and director of the Pain Department of China-Japan Friendship Hospital, said that if a person endures pain for a long time, the result may be that 's tolerance to pain gradually decreases .
After a patient enduring pain for a long time, nervous system will also change, and primary hyperalgesia symptoms , that is, the originally very simple pain, but he will also "make a big deal".
There are also patients who endure pain for a long time and become hypersensitive to pain , that is, during the pain tolerance process, the anti-pain threshold of in the system is constantly lowering , which leads to becoming more and more sensitive to pain.
If the long-term pain tolerance has reached the stage of secondary hyperalgesia, then the pain resistance threshold is close to "0" at this time, and the patient may also have pain sensations for normal sensations, which is difficult to treat.
2. Clinically, the four most painful diseases
In addition to the symptoms of the disease, the pain caused by the disease is also very tormenting, especially the following four diseases, which really make people feel unhappy.
, trigeminal neuralgia
Once the small blood vessels press the brain nerves, it is easy to cause the area "ruled by" by trigeminal nerve , and then cause pain, knife-cut pain, stinging pain, tearing pain and other pains of varying degrees. In severe cases, patients may not be able to concentrate, and even simple eating, washing face, and brushing teeth will be tortured by temporary or repeated pain.
, gout
The uric acid that continues to rise in the body can further form urate and deposit in the joint cavity, kidneys and other parts, which can easily cause acute chronic inflammation and tissue damage.The so-called gout, is mainly painful in the joints , manifested as sudden and severe swelling and pain, fever , etc. recurs on , and even worse, joint deformities, and the uric acid urinary tract explanation caused by it can also threaten life.
, shingles neuralgia
After infection with varicella zoster virus, in addition to clusters of blisters on the skin, it often affects the nervous system, causing symptoms of spontaneous pain like burning and electric shock , or any abnormal sensation after slight contact with clothes, numbness, tightness and other abnormal sensations. If shingles are not treated in time, once the virus erodes the nerves, it will cause post-neural pain in .
, kidney stones
When the calcium and magnesium ion concentration in the body is too high, it is easy to precipitate in the kidneys and form kidney stones. When the stone rubs against the kidneys or causes obstruction, it often produces hidden pain or knock pain in the kidney area, especially when renal colic tter , the pain will also cause the patient's complexion to turn white and sweat profusely.
3. The pain in three parts of the body is not to endure
The body will not experience pain for no reason. Sometimes the pain symptoms in certain special parts are likely to be a distress signal sent by the body.
·Head pain
If it is excluded that it is not migraine , then for headaches that are constantly aggravated, you should suspect the possibility of subdural hematoma or intracranial tumors.
. For sudden and severe headaches, we should consider emergency situations such as brain tumor rupture, cerebral hemorrhage . Also, if the headache occurs, accompanied by symptoms such as vomiting, body fever, rash, etc., you should promptly check whether there are any intracranial infections of intracranial infections of , vasculitis and other problems.
·Tooth pain
Tooth pain may not only be caused by oral diseases, but also beware of it as a heart distress signal, that is, "cardiogenic toothache".
General cardiogenic toothache The location is inaccurate and the pain occurs suddenly and violently. It is mostly paroxysmal recurrent pain, which is easy to occur after emotional excitement, exercise, or full meals, and overwork. It may be accompanied by chest pain , sore throat, chest tightness and other discomforts, and painkillers cannot relieve it.
·Chest pain
The heart and lungs are located in the front part of the chest. If the symptoms of headache in the chest area appear, you should pay special attention. For example, patients with hypertension and coronary heart disease should be wary of angina pectoris. If chest pain occurs after exercise or is accompanied by cold sweating, shortness of breath, etc., and it will not be relieved for 20 minutes, consider the risk of pulmonary embolism , myocardial infarction or aortic dissection is relatively high.
4. Not only does it cure diseases, but it also needs to treat pain. Which department should I refer to for chronic pain?
Pain is actually a very subjective feeling. Some patients cannot improve pain symptoms even if they seek medical treatment multiple times. Because they feel that they have spent "injustly in vain", they lose confidence in treatment, which makes them prefer "tolerance" in the face of pain.
In addition, people believe that the way to solve pain is nothing more than taking medicine or closed treatment, but they are afraid that taking medicine will have side effects or the closed treatment is not effective. Therefore, when it is painful, just pinch it wherever it hurts, otherwise it is just applying the medicine oil.
In fact, the hospital has a special pain department, and the pain relief methods and effects are constantly improving, and the medication can be used in combination according to the actual situation of the patient. The following 4 kinds of pain can be used in the Pain Department.
- don’t know what the cause and the pain of unknown department;
- The neck, shoulder, waist and legs are not well treated and cannot reach the level of surgery;
- knows what pain it is, but the pain that has no effect in treatment;
- pain caused by cancer;
Image source: Beijing Yitong
Many people have felt pain in their lives, but they are mostly "tolerated" or "simple medicine" to solve it. Unless they really can’t stand the pain, they will seek medical treatment. This is wrong! The pain needs to be said, and it should be treated to avoid the pain becoming more complicated and difficult to treat due to long-term endurance.
Reference materials:
[1] "100 million Chinese people are suffering from chronic pain! The doctor summarized 7 kinds of pain that should not be "tolerated". Life Times. 2021-10-11
[2] "What kind of disease is the most painful in the world? All those who have experienced it are Superman》.Beijing Yitong .2020-08-20
[3] "The pain cannot be endured again and again, 7 kinds of pain cannot be delayed, you need to seek medical treatment immediately". Renwei Health.2020-07-02
Reprinting of
without authorization from the author
