Pain is one of the most common reasons for consulting a doctor. Acting as an alarm, acute pain notifies the person of damage and disease, contributes to the healing process by forcing him to seek medical help, and even provides early diagnosis. Chronic pain, which has no function in the organism, changes tissue-nerve biology, whether it is an organic lesion or not, and reduces the quality of life by causing physical and emotional disorder and preventing work ability. Treatment of chronic pain also challenges the physician, and especially unorganized treatment efforts increase hospital use and bring socio-economic burden. Algology Specialist Assoc. Prof. explains the other dimension of why chronic pain causes physical and emotional disorders and reduces the person's quality of life. Dr. Kader Keskinbora explains:“Long-term chronic pain can make both old and young patients depressed in a vicious circle. Both depression and pain can lead to depression. Therefore, if you have chronic pain in any part of your body that lasts longer than 2 months, it is important to be evaluated by a pain specialist in order to avoid falling into a vicious circle of depression.”
- Everyone Complains about Waist and Headache!
40 percent of patients applying to pain clinics complain of cancer pain, and 60 percent of them complain of chronic non-cancer pain. The majority of those who complain of chronic non-cancer pain are low back pain and headache. The most common causes of lower back pain are herniated disc and arthritis. When patients who complain of pain starting from the waist and radiating to the leg due to a herniated disc are evaluated by a neurosurgeon, they are referred to a pain specialist if lumbar surgery is not recommended. With the radiofrequency current treatment we apply to the pinched nerve due to a herniated disc, patients can remain pain-free for at least 2 years and increase their daily quality of life.
- Say Goodbye to Headaches with Migraine Battery
Headaches range from tension type to migraine. From various pain-relieving drug treatments to injection treatments called interventional pain therapy, patients can relieve headaches. can get rid of it. In the treatment of migraine, which is very common in society, the "pain battery" application, a new treatment method, has received FDA approval and has been included in the headache treatment guidelines. An electrode is placed on the nerve responsible for migraine pain at the nape of the head, and the tip of this electrode is connected to the battery, or generator, placed under the skin. With this treatment method, which we started to apply in Turkey, patients can reduce their headaches under their own control with this battery throughout their lives.
- Pain Intensifies If There is Stress
Chronic pain, that is, long-term persistent pain, whether due to any disease or not, reduces the quality of life by causing physical and emotional disorder, and impairs function by preventing work ability. For this reason, depression can be seen in both old and young patients with pain due to the vicious circle created by this persistent pain. In addition, in people with sensitive structures and exposed to stress, since the body's pain-reducing system is weakened, these patients may experience mild pain more severely. A good example that explains this situation is that when we feel emotionally well, we try to ignore a headache, but when we are nervous and sad, the same headache feels unbearable. In other words, both depression can lead to pain and pain can lead to depression.
- Can chronic persistent pain be without a cause?
A spell in the first civilizations Why and how chronic pain, which is interpreted as trouble, evil, evil spirit, occurs, is still not fully understood until today, although the mystery has been somewhat clarified with the advances in nerve physiology in the last 20-30 years. There are things we do not understand not only in the formation of chronic pain, but also in basic categories such as pain sensitivity, susceptibility to pain, the mechanisms of action of some treatments that we know to be effective, and the fact that the response to treatments is different in everyone. This uncertainty has now been somewhat resolved and it is known that "genetic predisposition" plays a significant role in chronic pain. In addition, pathological changes in the sensory system are regulated by the immune system and there is a mutual interaction between these two systems. It is known that there is a dual interaction. Although codes such as genetic predisposition and immune system in pain formation have been deciphered, our knowledge about what is happening in the brain of the person with pain is limited. In recent years, all studies in the field of pain have focused on the role of the brain in pain formation. It will also be necessary to keep in mind the fact that Indian people who can walk on a nailed board control their pain with their brains.
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