In my 30 yrs as a family doctor, I’ve seen medicine go backwards as it relates to pain and pain therapy. In the 80’s we use to treat pain with a lot of therapy, massage and tissue work. We had large Physical Therapy departments that focus on working with chronic pain patients to treat them as individuals. Today, it’s one-size pain pill fits all type of chronic pain patients.
Modern physicians do not perform detailed hands-on exams anymore. Doctors have lost the Touch! Humans and most all mammals use tough to sooth and comfort each other. Massage was a way of life until a quicker fix was developed in the form of nonsteroidal anti inflammatory medications and a lot of opiate pain medication. Why? Because it is easy and it buys time to get the MRI or CT Scans.
Guess what I found out … pain pills no matter how many do not work on some types of chronic pain problems. So you are not really helping a patient by upping the dose or number of pills. Actually, you are making the patient sicker and now dependant on the pain meds.
The pill prescribing problem will lead to one of the worse illnesses on top of a person who is already suffering in pain and that is what I call “Pain Medication Poisoning.” This is due to the narcotic dependency, like a dope fiend who missed a hit … the patient will feel like a truck has run over them plus lots of sweats, diarrhea, runny nose and the pain levels will explode.
After reading a book written by Janet G. Travell and Richard Simons, Myofascial pain and Dysfunction, I have to say the prior scenario is poor medicine. Travell/Simons found that the chronic pain is treatable. Yes, treatable and possible curable if therapy is started early. This therapy can help to avoid knee, hip, shoulder replacement surgeries, back surgeries and help to clarify a lot of other pain conundrum in pain management department.
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