Question

what are the alrernative pain management options. please give reference!

Answer 1

Ans) Alternative treatments for chronic pain:

- Acupuncture: Once seen as bizarre, acupuncture is rapidly becoming a mainstream treatment for pain. Studies have found that it works for pain caused by many conditions, including fibromyalgia, osteoarthritis, back injuries, and sports injuries.
How does it work? No one's quite sure. It could release pain-numbing chemicals in the body. Or it might block the pain signals coming from the nerves.
- Marijuana: Setting aside the controversy, marijuana has been shown to have medicinal properties and can help with some types of chronic pain.
However, marijuana does have risks. For some people, Cohen says, those risks can be serious, including addiction and psychosis. Because of the dangers and the obvious potential for abuse, experts generally only turn to marijuana when all other treatments have failed.
On a practical level, you also need to be aware of the laws regarding the use of medical marijuana in your state. There are also two prescription drugs, called pharmaceutical cannabinoids, that are derived from the active ingredient of marijuana. They are sometimes used for pain, although they are only FDA-approved for nausea caused by chemotherapy and HIV-related weight loss.
- Exercise: Going for a walk isn't a treatment, exactly. But regular physical activity has big benefits for people with many different painful conditions. Study after study has found that physical activity can help relieve chronic pain, as well as boost energy and mood.
If you have chronic pain, you should check in with a doctor before you start an exercise routine, especially if you have any health conditions. Your doctor might have some guidance on what to avoid, at least as you get started.
- Chiropractic manipulation: Although mainstream medicine has traditionally regarded spinal manipulation with suspicion, it's becoming a more accepted treatment. "I think chiropractic treatment works reasonably well for lower back pain."Studies have shown that it's comparable to other approaches."
- Supplements and vitamins: There is evidence that certain dietary supplements and vitamins can help with certain types of pain. Fish oil is often used to reduce pain associated with swelling. Topical capsaicin, derived from chili peppers, may help with arthritis, diabetic nerve pain, and other conditions. There's evidence that glucosamine can help relieve moderate to severe pain from osteoarthritis in the knee.
But when it comes to supplements, you have to be careful. They can have risks. Oaklander says that high doses of vitamin B6 can damage the nerves. Some studies suggest that supplements such as ginkgo biloba and ginseng can thin the blood and increase the risk of bleeding. This could lead to serious consequences for anyone getting surgery for chronic pain.
So treat supplements and vitamins warily, like you would treat any drug. Always check with a doctor before you start taking supplements, especially if you have any medical conditions or take other medication.
- Therapy: Some people with chronic pain balk at the idea of seeing a therapist -- they think it implies that their pain isn't real. But studies show that depression and chronic pain often go together. Chronic pain can cause or worsen depression; depression can lower a person's tolerance for pain.
So consider giving therapy a try. Cohen says he's seen particularly good results with cognitive behavioral therapy, a practical approach that helps people identify and change the thought and behavior patterns that contribute to their unhappiness.
- Stress-reduction techniques. "Reducing stress is really crucial in pain management," There are number of approaches, including:
• Yoga: There's good evidence that yoga can help with chronic pain -- specifically fibromyalgia, neck pain, back pain, and arthritis.
• Relaxation therapy: This is actually a category of techniques that help people calm the body and release tension -- a process that might also reduce pain. Some approaches teach people how to focus on their breathing. Research shows that relaxation therapy can help with fibromyalgia, headache, osteoarthritis, and other conditions.
• Hypnosis: Studies have found this approach helpful with different sorts of pain, like back pain, repetitive strain injuries, and cancer pain.
• Guided imagery: Research shows that guided imagery can help with conditions like headache pain, cancer pain, osteoarthritis, and fibromyalgia.
• Music therapy: This approach gets people to either perform or listen to music. Studies have found that it can help with many different pain conditions, like osteoarthritis and cancer pain.
Biofeedback. This approach teaches you how to control normally unconscious bodily functions, like blood pressure or your heart rate. Studies have found that it can help with headaches, fibromyalgia, and other conditions.
• Massage: It's undeniably relaxing. And there's some evidence that massage can help ease pain from rheumatoid arthritis, neck and back injuries, and fibromyalgia.