Chronic Pain

What is chronic pain?
chronic pain

There are two types of pain: acute and chronic. Acute pain lets you know that you may be injured or a have problem you need to take care of. Chronic pain lasts for weeks, months, or even years.

The original cause can be an injury or infection. There may be an ongoing cause of pain such as arthritis or cancer. In some cases, there is no clear cause.

How bad is my chronic pain?

Mild: Pain without limiting any activities of daily life (ADL).

Moderate: Limiting instrumental activities of daily life (preparing meals, managing money, shopping, doing housework, and using a telephone).

Severe: Limiting self care activities of daily life (eating, dressing, getting into or out of a bed or chair, taking a bath or shower, and using the toilet).

How to manage early symptoms of chronic pain?
  • Medicines include pain relievers, antidepressants, and anti-convulsants. Different types of medicines help people who have different types of pain. If your doctor recommends an over-the-counter pain reliever, read and follow the instructions on the box.
  • Physical therapy includes stretching and activities to strengthen muscle.
  • Low-impact exercise could include walking, swimming, or biking.
  • Occupational therapy teaches you how to pace yourself and do ordinary tasks differently. This helps you reduce your pain or avoid re-injuring yourself.
  • Behavioral therapy methods help you relax and decrease stress. They could include meditation, tai chi, or yoga.
  • Complementary and Alternative Medicine (CAM) involves treatments that are not part of mainstream medical care. Acupuncture and massage are examples of these treatments. Talk to your doctor about any CAM procedures.
How to manage severe chronic pain?

Seek medical help immediately if you have

  • Pain lasts for over a week 
  • Pain extending to other body parts 
  • Tingling, or weakness 
  • Agony after an accident 
  • Abnormal weight loss
  • Fever

Severe cases could require more invasive treatment. It may include electrical stimulation, nerve blocks, or surgery. Talk to your doctor to learn how to best control your pain.

What causes chronic pain?
  • Infection
  • Headache or migraines
  • Back problems
  • Cancer
  • Arthritis
  • Fibromyalgia
  • Nerve damage
  • Previous surgery

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