Hunan Daily, October 18 (All-media reporter Wang Mingjun, correspondent Ao Zhengtong, Wan Haoyu) On October 17, Changsha citizen Zhang Hua finally couldn't bear the increasingly serious back pain, and asked his son to take him to Xiangya Third Hospital of Central South University. Experts say that pain is also a disease and cannot be tolerated.
Huang Dong, director of the Department of Pain at Xiangya Third Hospital, Central South University, introduced that pain is a subjective feeling and a warning from the body, warning the occurrence of harm. It is known as the fifth vital sign after " heart rate , blood pressure, pulse, and breathing". It has now become the third biggest health problem after cardiovascular and cerebrovascular diseases and tumors.
Modern Pain Medicine research found that chronic pain itself has direct damage to the target organs and has adverse effects on physical and mental health. If you do not have the right understanding of pain and leave it alone, it will slowly change from affecting the quality of sleep to causing insomnia, or even anxiety and depression, causing increased blood pressure, increased blood sugar, endocrine disorders, etc., and ultimately causing multi-system dysfunction.
What are the common pains? How to treat it?
Trigeminal Neurological Pain
Huang Dong introduced that trigeminal neuralgia is the most common brain nerve disease, manifested as paroxysmal, cut-cut or burn-like pain on the head and face. Each time the pain lasts for several seconds to dozens of seconds, and is very severe when it occurs. There is a clear trigger point when the pain occurs, which is called "the world's number one pain"; it can also cause symptoms such as muscle twitching and facial flushing.
Treatment method: After the pain department has clearly diagnosed, trigeminal nerve radiofrequency regulation or trigeminal nerve balloon compression can be used for treatment. Combined with the use of nutritional drugs, better results can be achieved.
Postherpetic neuralgia
After infection with the shingles virus, it will cause a long period of pain. This pain is common in middle-aged and elderly people and people with low immunity. Herpes zoster usually has erythema, and then papules grows, which later turn into blisters. It is often called "snake waist-wrapped, spider elixir". In some patients with weak resistance, shingles still have long-term local neuropathic pain after their resolution, which is the "most painful skin disease."
Treatment method: After the pain department has clearly diagnosed, spinal cord electrical stimulation and peripheral nerve stimulation implantation can be performed, and pregabalin , methylcobalamin and other drugs can be taken orally, which can achieve better results.
Neck and shoulder pain
The main pain points are around the cervical spine and shoulder joints, mainly swelling and tingling, and are more common in middle-aged and elderly people, but they also occur in young people; common clinical causes include: cervical spondylosis , myofascial pain syndrome, periarthritis , etc. When the attack is severe, it can be unbearable and you can't sleep all night.
Treatment method: If it is caused by cervical spondylosis, minimally invasive treatment such as cervical disc low energy laser or radiofrequency regulation can be given. If it is myofascial pain syndrome, internal heat injection and nerve block treatment can be performed. If it is a problem with the shoulder joint, local treatment, loosening and PRP (platelet-rich plasma) can be given.
migraine
migraine is mostly pulsive headache that recurs on one side of the temporal area. It can be accompanied by visual and physical aura before the attack, and it is often accompanied by vomiting during the attack, which is more common in women.
Treatment method: There are many types of migraines, and after a clear diagnosis, oral medications can be given: such as flucinarizine , propranolol for preventive treatment, and symptomatic treatments such as celecoxib and ibuprofen can be given in acute pain. The Pain Department provides autoimmune trioxygen transfusion therapy to relieve migraine; in addition, the calcitonin gene-related peptide inhibitor erenumab is also a new clinical drug for the treatment of migraine.
Chronic pain in the knee
Chronic pain in middle-aged and elderly friends is mostly caused by degenerative knee changes. Articular cartilage, subchondral bone, ligament and tendons and meniscus will gradually deteriorate with age and strain.
Treatment method: According to different stages of knee degeneration, the Pain Department often lavages the patient's knee , and then injects PRP (platelet-rich plasma) and drugs to the knee joint cavity and tendons to achieve the purpose of repairing, anti-inflammatory and analgesia. In addition, knee denervation therapy can achieve the purpose of treating pain.
(first instance: Wang Mingjun; second instance: Liu Wentao; third instance: Yang Youhua)
