How to Reduce Chronic Pain Without Pain KillersDr. Golbin
Recently the use of opioid pain medications has reached a level of a national health crisis. This has been admitted by the National Institutes of Health (NIH) and the Department of Health and Human Services (HHS). In the United States, approximately 29% of patients that were prescribed opioid medications are misusing them. It is a fact that 80% of heroin users initially started taking prescription painkillers. It is important to know that there are other medications and methods besides opioids that are available to control chronic pain.
- Mood Stabilizers. A recent research confirmed what we, practical doctors, knew for a long time that mood stabilizers such as small doses of Lithium and Carbamazepine (Tegretol) provide significant analgesia in patients with chronic pain and depression. On a 10 points scale where 0 equaled no pain, and 10 was the worse, Lithium decreased daily pain on average of 2.7 points, and their mood according to the Clinical Global Impressions (CGI-1) was “very much improved”. Carbamazepine has been used for a long time to treat myofascial pain. Other helpful non-opioid analgesics are Gabapeptin, Duloxetine.
- SPG therapy. Great interest recently was paid to so-called SPG therapy for migraine headaches, myofascial pain, neck pain and fibromyalgia. SPG (SPheno-Palatine- Ganglion) – is a sort of nerve center that is responsible for the regulation of brain hemodynamic and anti-inflammatory regulation in the head and neck. SPG block therapy is a simple, easy to perform and non-invasive procedure with very noticeable effect on chronic pain.
- After many years of being in the shadows, hypnotherapy became very popular nowadays. The American Academy of Medical Hypnosis was restored and our clinic became one of the Academy’s sites for hypnosis. Hypnotherapy is a gentle procedure that elicits a sleep-like state of mind in which many health changes could be made by medical suggestions. Hypnotherapy could be performed by certified medical professionals in a comfortable and safe environment with full consent and audiovisual monitoring.
Source: Can mood stabilizers reduce chronic pain in a patient with bipolar disorder? Current Psychiatry, 2018, Vol.17, # 3 :54-55