Pain Awareness Month: Innovation in Pain Management and Nursing – mahrgan

September is Pain Awareness Month During this period, the medical industry aims to raise public awareness of pain, pain management solutions, and the work of pain professionals. Live in pain It may be debilitating and negatively affect the quality of life of the patient and those around him.The current statistics estimate that nearly 50 million Americans experience chronic painThe burden of worsening chronic pain is an alarming increase in opioid abuse and addiction, which has caused people to Non-drug treatment Used for acute and chronic pain.

The opioid epidemic

Patients mainly use opioids to relieve acute pain related to injury or surgery. Although these drugs can effectively treat pain, they have dangerous side effects, that is, the possibility of abuse is high, and long-term use usually leads to opioid addiction and abuse. According to 2016 survey data from the Substance Abuse and Mental Health Services Administration, 2.4 million Americans suffer from opioid use disorder And this number has been increasing in recent years.

It is estimated that there are more than 650,000 opioid prescriptions nationwide every day, many of which are for non-medical purposes.According to the Centers for Disease Control and Prevention, the number of prescription opioids distributed in the United States is approximately Quadruple Between 1999 and 2015.

The need for non-drug pain intervention

this Chiropractic Progress Foundation (F4CP) Warns of the trend of worsening pain and death from drug overdose in the United States, and emphasizes the need for safe, effective care and drug-free pain management solutions. The latest evidence shows that public health trends are worrying; a recently published 17-year study showed that adult men and women aged 25 to 84 in the United States have “a significant increase in the prevalence of pain.” During the study period, the prevalence increased sharply, with joint pain increasing by 21%, neck pain increasing by 16%, and low back pain cases increasing by 15%. These findings support the need for extensive research and intervention on the worsening pain problem in the United States and the world.

The second worrying trend is the increasing rate of drug overuse in the entire population. In December 2020, the Centers for Disease Control and Prevention (CDC) issued Press release The mental health and economic damage caused by the COVID-19 pandemic is linked to a record number of deaths, and the upward trend continues unabated.

“These worrying trends further show that pharmacological methods for non-cancer, musculoskeletal pain are not only ineffective, but also dangerous,” F4CP Chairman Sherry McAllister DC told PR Newswire. interview“While this country is hopeful of getting rid of the COVID-19 pandemic forever, our progress in fighting the opioid epidemic has faltered, and more Americans continue to be debilitated by pain compared to two decades ago. Fortunately. However, there is increasing evidence that safe and drug-free chiropractic therapy can help more people find the relief they need, without being associated with opioids and other addictive drugs used to treat pain (Such as benzodiazepines) related risks.”

In a widely recognized context Global burden of sufferingDue to the integration of technology and scientific development, the pace of innovation in the field of painkillers continues to accelerate.

Innovation in pain treatment

Today, there are various innovative medical technology solutions on the market that can help cope with national crises and reduce dependence on opioids. Implants and other devices, as well as applications and diagnostic tests can now help promote effective pain management while curbing misuse, abuse, and overdose associated with opioids. In addition, the development of minimally invasive innovation enables patients to resume daily activities in a shorter period of time, reducing postoperative pain and discomfort. Some innovative strategies for treating chronic and acute pain are outlined below.

Continuous peripheral nerve block (cPNB)

This increasingly popular alternative includes percutaneous insertion catheters placed at the target nerve during surgical procedures. It is clinically proven that the catheter can reduce the exposure to opioids during and after surgery, allow continuous infusion of fast-acting local anesthetics, provide long-term pain relief, and can be titrated to achieve the desired effect. Continuous peripheral nerve block It can be used in hospitals, home care environments, and alternative care facilities, and has been found to reduce the incidence and severity of postoperative pain.

Peripheral nerve stimulation (PNS)

Pain relief without medication, Peripheral nerve stimulation This includes placing a small electronic device next to one of the peripheral nerves. Then, the electrodes will send out rapid electrical impulses to stimulate the nerves, thereby alleviating the pain in a targeted manner, and allowing the patient to control the degree of stimulation as needed.

Deep transcranial magnetic stimulation (TMS) treatment

This method magnetically stimulates the brain structures and networks associated with chronic pain, and stimulates the superficial cortex to relieve pain. Deep TMS has been proven to be safe and effective for depression, obsessive-compulsive disorder and chronic pain.

Pulsed Electromagnetic Field​​ (PEMF) Therapy

Pulsed electromagnetic field therapy​​ Use dual-field electric and magnetic energy to stimulate cell expression and promote overall health. This technology changes the path of pain by increasing the body’s naturally occurring pain relief mechanisms while reducing inflammation and swelling. PEMF is a non-invasive, non-sensory therapy that can be used in clinics and at home.

Cryotherapy

Recently, it has become more and more popular around the world. Cryotherapy uses the body’s natural response to extreme cold to treat peripheral nerves and immediately reduce the severity of pain. It can use a portable handheld system or a larger fixed cryotherapy room to treat the entire body. Cryotherapy has been found to reduce the use of opioids after surgery, and also has other significant health benefits, including improving mental health and well-being, reducing inflammation and muscle healing.

Botox

Botulinum toxin injections are often used to treat TMJ and are becoming more common in painkillers because research shows that it can provide temporary relief.new Learn Promising results have been shown in patients with thoracic outlet syndrome who use botulinum as an alternative to ribectomy surgery. Further research is needed to determine the full range of clinical applications of botulinum toxin in pain relief.

In addition to radiofrequency nerve ablation and spinal cord stimulation, there are many other innovative pain interventions that can greatly reduce discomfort without the use of drugs. In addition, pain management innovation pipelines are carried out on a global scale, aiming to develop new methods for the treatment of acute and chronic pain, while improving the prevalence of opioids and their dramatic impact on the population. Therefore, pain management innovation channels are very powerful.

Key points

The rate of chronic pain and the prevalence of opioid addiction continue to rise to a level that requires immediate attention to non-toxic pain care. As the medical and scientific communities strive to provide safe and effective solutions for millions of patients suffering from acute and chronic pain, innovations in pain management and prescription opioid alternatives are abundant and are rapidly increasing.

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