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смотреть онлайн бесплатно фильм русский треугольник, 18 Treatment Types to Help You Manage Chronic Pain - WebMD, Pain Management: Types of Pain and Treatment Options - Drugs.com, Pain Management: What It Is, Types, Benefits & Risks - Cleveland Clinic, Best medications for chronic pain: Types, dosages, and more, Everything You Need to Know About Pain Relief Basics - Healthline, 8 non-invasive pain relief techniques that really work, Pain Medicine - Overview - Mayo Clinic.
Conditions Back ConditionsDrugs & Supplements Back Drugs & SupplementsWell-Being Back Well-BeingMore Back More Privacy & More Subscribe Log In Search Subscribe GuideTypes of PainSymptoms & CausesTests & DiagnosisTreatmentLiving WithSupport & ResourcesEn Español View Full Guide EnglishPain MedicationsMedically Reviewed by Jennifer Robinson, MD on September 20, 2023Written by 5 min readPain medicines, whether they’re over-the-counter or prescription strength, can help you manage chronic pain and other kinds of pain. They’re powerful drugs, so it's important to use them with care. It’s best to start with the safest drugs at the lowest effective dose for the shortest amount of time and work up from there as needed.Be aware of possible side effects and interactions with other drugs and supplements you take. And always follow the directions on the label or your doctor’s prescription.Over-the-Counter Pain RelieversOver-the-counter (OTC) pain relievers include: ()Nonsteroidal anti-inflammatory drugs (), including , , and Both acetaminophen and NSAIDs reduce fever and relieve pain caused by muscle aches and stiffness, but only NSAIDs can also reduce (swelling, heat, redness related to an injury, and irritation). Acetaminophen and NSAIDs also work differently. NSAIDs relieve pain by reducing the production of prostaglandins, which are hormone-like substances that and inflammation. Acetaminophen works on the parts of the that receive the "pain messages." NSAIDs are also available in a prescription strength that can be prescribed by your doctor. Using NSAIDs regularly, especially at high doses, increases the risk of heart attacks and strokes and can also cause stomach ulcers and bleeding. They can also cause kidney problems. Taking acetaminophen regularly at high doses can cause a liver problem. Taking a large amount at once intentionally or accidentally is a medical emergency.Topical pain relievers are also available without a doctor's prescription. These products include creams, lotions, or sprays that are applied to the in order to relieve pain from sore muscles and arthritis. Some examples of topical pain relievers include , , , , and .Prescription Pain RelieversPrescription medicines to treat pain include:CorticosteroidsAnticonvulsants (anti- )NSAIDsLidocaine patchesWhat Are Corticosteroids?Prescription corticosteroids provide relief for inflamed areas of the body by easing swelling, redness, , and allergic reactions. Corticosteroids can be used to treat allergies, , and arthritis. When used to control pain, they are generally given in the form of pills or injections that target a certain joint. Examples include , , and . Prescription corticosteroids are strong medicines and may have serious side effects, including: gain and salt retentionMood changesTrouble sleepingWeakened immune systemThinning of the bones and skinHigh sugar levelsTo minimize these potential side effects, corticosteroids are prescribed in the lowest dose possible for as short of a length of time as needed to relieve the pain. Another way to minimize these side effects is to give the steroid by injection to target the particular problem area.What Are Opioids?Opioids are narcotic pain medications that contain natural, synthetic, or semi-synthetic opiates. Opioids are often used for acute pain, such as short-term pain after surgery. Some examples of opioids include:--Opioids are effective for severe pain and do not cause bleeding in the or other parts of the body, as can some other relievers. However, they can be extremely addictive, and doctors will try to find alternatives to prescribing them. It’s rare for people to become addicted to opioids if the drugs are used to treat pain for a short period of time. But if used to treat chronic pain, the risk of addiction is real and potentially dangerous.Side effects of opioids may include:Drowsiness and vomitingItchingAddictionWhat Are Antidepressants? are drugs that can treat pain and emotional conditions by adjusting levels of neurotransmitters (natural chemicals) in the . These medications can increase the availability of the body's signals for well-being and relaxation, enabling pain control for some people with conditions that do not completely respond to usual treatments. Research suggests certain antidepressants (tricyclics) work best for neuropathic or nerve pain. conditions treated by low-dose antidepressants include some types of (like ) and menstrual pain. Some antidepressant medications include:Selective serotonin reuptake inhibitors (SSRIs) such as (), (), (), and ()Tricyclic antidepressants such as , (), (), (), and ()Serotonin and norepinephrine reuptake inhibitors (SNRIs) such as () and ()These drugs require a steady dose of the medicine buildup in the body over a period of time to work. The doses needed to treat pain are often lower than those needed to treat depression.Generally, SSRIs and SNRIs have fewer side effects than tricyclic antidepressants. The most common side effects of antidepressants include:Blurry visionDifficulty urinatingNauseaSexual dysfunctionWhat Are Anticonvulsants?Anticonvulsants are drugs typically used to treat seizure disorders. Some of these medications are effective in as well. The exact way in which these medicines control pain is unclear, but it is thought that they minimize the effects of nerves that sense pain. Some examples include (), (), (), and ().In general, anticonvulsants are well tolerated. The most common side effects include:DrowsinessNauseaOther Pain TreatmentsAnother means of topical pain relief comes in the form of a () patch, which is a prescription medication.Muscle relaxers work by depressing the central nervous system, helping relieve muscle tension and spasms and often causing drowsiness. They can be effective for short-term use for acute flare-ups of back pain and nerve pain. They can also help treat nighttime muscle pain from fibromyalgia.If your pain is not relieved by the usual treatments, your doctor may refer you to a pain management specialist. Doctors who specialize in may try other treatments such as certain types of or other kinds of medicine. They may also recommend , a procedure that uses patches placed on the skin to send signals that may help stop pain.(SCS) involves surgery to fully or partially implant a small device somewhat like a pacemaker in the epidural space adjacent to the area of the spine which is believed to be the source of the pain. It sends mild electric pulses through leads to help mask and interrupt the pain signals to your brain.SourcesUpdate HistorySharePrintSOURCES:Arthritis Today.American Family Physician.U.S. National Library of Medicine.UpToDate.American Chronic Pain Association: "Resource Guide 2012."International Association for the Study of Pain: "IASP Taxonomy."Agency for Healthcare Research and Quality: "Navigating the Health Care System."Consumer Reports: "Best Buy Drugs. Shopper’s Guide to Prescription Drugs, No. 6."National Institute on Drug Abuse: "Research Reports: Prescription Drugs: Abuse and Addiction. How do opioids affect the brain and body?"Beth Israel Medical Center: "About Opioids."Pain Treatment Topics: "Glossary."Chronic Pain Network.Fibromyalgia Network: "Treatment Studies."Arthritis Foundation: "Fibromyalgia: Treatment Options."National Institute of Arthritis and Musculoskeletal and Skin Diseases: "Fast Facts about Fibromyalgia."McIlwain, H. and Bruce, D. The Fibromyalgia Handbook, Holt, 2007.FDA: “Acetaminophen and Liver Injury: Q & A for Consumers,” “A Guide to Safe Use of Pain Medicine.”Family Doctor: “Pain Relievers: Understanding Your OTC Options.”American Heart Association: “Use of Nonsteroidal Anti-inflammatory Drugs: An Update for Clinicians: A Scientific Statement From the American Heart Association.”California State Board of Pharmacy: “What's the deal with double dosing?”SharePrintNext In TreatmentShow more articles More on Pain Management Recommended FEATURED Top doctors in , Find more top doctors on Search Related LinksPoliciesAboutFor Advertisers © 2005 - 2025 WebMD LLC, an company. All rights reserved. WebMD does not provide medical advice, diagnosis or treatment. , In the past decade, many people have found relief for their pain in mind-body therapies, acupuncture, and some nutritional supplements. Others use massage, chiropractic and osteopathic (bone , Possible treatment options for different types of pain are: Acute pain: nonopioids, weak opioids, opioids, nonpharmacological treatments such as ice or bioelectric therapy; Chronic pain: nonopioids, weak opioids, opioids, antidepressants, capsaicin cream, nonpharmacological treatments such as bioelectric therapy, radiation therapy.
Depending on the cause of pain and your unique characteristics, it may take time — and several different therapies — before you find the right approach that works for you. For example, less than 50% of people with neuropathic pain experience adequate pain relief with a single therapy. Your pain might not go away completely., A 2016 article states that nonopioid treatment for chronic pain is generally preferable, Doctors do not primarily administer antidepressants for pain relief. However, they may help control , Pain-relief methods range from at-home treatments and prescriptions to over-the-counter (OTC) medications and invasive procedures, like surgery. Pain relief doesn’t usually happen overnight, but , Physical activity plays a crucial role in interrupting the "vicious cycle" of pain and reduced mobility found in some chronic conditions such as arthritis and fibromyalgia. Try gentle aerobic activities such as walking, swimming, or cycling. 3. Physical therapy and occupational therapy., Your pain medicine team members talk with you and answer your questions. They may consult with specialists in anesthesiology, neurology, neurosurgery, orthopedic surgery, sports medicine, physical medicine and rehabilitation, psychiatry and psychology, integrative medicine and health, or other areas to determine the best treatment for you.Your care team also may include physician assistants , Other Pain Treatments. Another means of topical pain relief comes in the form of a lidocaine patch, which is a prescription medication. Muscle relaxers work by depressing the central nervous .