The integrated diagnosis and treatment of traditional Chinese and Western medicine makes the pain nowhere to escape

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Chinanews.com, Shanghai News, October 10 (Li Qiuying, Chen Congyao) The Department of Pain is a discipline between surgery and non-surgery, involving a comprehensive department in many fields, mainly treating various chronic pain, neuropathic pain and cancer pain. Recently, the reporter interviewed Liu Lili, director of the pain department of Shanghai Quyang Hospital, to popularize the science of pain.

1. Chronic pain and its harms?

Chronic pain refers to pain that lasts or recurs and lasts for more than a month. It is the most common disease that endangers people's health, and can also be a concomitant symptom of other diseases, and the prevalence of chronic pain is 8%-48% worldwide, which has been regarded as another major killer that seriously affects human life and quality of life after cardiovascular and cerebrovascular diseases and tumor diseases. This is because of the aging population and changes in work, entertainment, and lifestyle, and the increase in the time that people sit or half-lie and half-sit, resulting in an increasing incidence of pain from primary and secondary school students to the elderly; However, the people do not understand pain, including a relatively one-sided understanding of pain, and the importance of pain and its harmfulness are far from enough. Many patients have been plagued by pain for many years, and do not come to the hospital until they can no longer tolerate it, and do not achieve early diagnosis and treatment. At the same time, due to the frequent recurrence and duration of pain, it leads to dysfunction of the human system, autonomic nerve dysfunction, sleep disorders, lack of appetite, decreased immunity, and induces various diseases, which seriously affects the quality of life of patients, and some patients reduce or even lose their ability to work, resulting in painful disability, and the pain lasts for more than three months, and more than 90% of people will have depression and anxiety.

2. What are the common diseases in the pain department?

1. Headache: including migraine, cervicogenic headache, muscle tension headache, post-traumatic headache and post-lumbar puncture headache.

2. Neuralgia: such as trigeminal neuralgia, intercostal neuralgia, sciatica, postherpetic neuralgia, neuropathic pain, post-nerve injury pain, central pain, affected limb pain, stump pain, diabetic neuralgia, etc.

3. Osteoarthritis: degenerative osteoarthritis of the spine and limbs, heel pain, temporomandibular joint dysfunction syndrome, sacroiliitis, etc.

4. Soft tissue pain: such as acute and chronic lumbar sprain, lumbar muscle strain, lumbar back myofasciitis, piriformis syndrome, fibromyalgia syndrome, tenosynovitis, frozen shoulder, tennis elbow, soft tissue injury, cervical spondylosis, lumbar disc herniation, etc.

5. Pain caused by cancer and benign tumors: pain from advanced cancer, bone metastasis, etc., and pain caused by benign tumors.

6. Other types of pain: also include unexplained pain, chronic pelvic pain, dysmenorrhea, etc. Diagnostic treatment can also be performed in the pain department for pain disorders whose etiology is unknown or that is difficult to diagnose and treat in other outpatient clinics.

3. What are the common pain treatment methods?

(1) Medication

(2) Traditional Chinese medicine

1. Tuina: Relieve muscle spasm through manual work, improve blood circulation, promote the metabolism of stimulated substances, and relieve pain.

2. Acupuncture: Acupuncture acupuncture points can achieve the effect of relaxing tendons and activating the nerves or reducing inflammation and relieving pain, and is suitable for neuropathic headaches, migraines, neck, shoulder, waist and legs and other pains.

3. Cupping: Use the negative pressure suction in the tank to achieve the effect of blood circulation and blood stasis and pain relief.

4. Osteopathy: such as adjustment of spine and limb joint misalignment, etc., can sometimes provide significant pain relief.

(iii) Rehabilitation

1. Physical factor therapy: including hot compresses, cold compresses, ultrasound therapy, electrical stimulation, etc., can help relieve muscle tension and inflammation.

2. Exercise Therapy: Specific exercises and exercises are used to build muscle strength and flexibility and reduce pain.

(4) Psychotherapy

For people with chronic pain, psychotherapies such as cognitive behavioral therapy can help them change their negative perceptions of pain, increase coping strategies, and improve their quality of life.

(5) Minimally invasive intervention and neuromodulation therapy

1. Nerve damage: Locate and puncture the peripheral nerves to be treated under image guidance, and block pain conduction by physical or chemical methods.

2. Radiofrequency regulation: Pulsed radiofrequency is used to stimulate the plasticity of pain signal afferent pathways to produce pain inhibition.

3. Neuromodulation therapy: Through the implantation of stimulation points and pulse generators in the body, the conduction, presentation and formation of pain sensation are modulated in the form of electrical stimulation to reduce or eliminate pain.

(6) Surgical treatment

In some cases, such as a herniated lumbar disc or arthritis, surgery may be necessary. Surgery can relieve pain by relieving nerve compression, repairing damaged tissue, or rebuilding joint function.

4. Why is comprehensive diagnosis and treatment emphasized for chronic pain?

Chronic pain has its own unique diagnostic thinking and treatment methods, including etiological treatment and symptomatic treatment. The emphasis on comprehensive diagnosis and treatment is because there are many and complex factors that cause pain (including central, peripheral, intervertebral discs, facet joints, nerves, soft tissues and psychogenic factors, etc.), and a single specialty and a single method can no longer completely solve the pain problems of patients.

Based on this, the Pain Department of Quyang Hospital was established in 2007, and has always adhered to the concept of integration of traditional Chinese and Western medicine, integration of pain rehabilitation, and physical and mental care with a multidisciplinary diagnosis and treatment team model. For spine-related diseases, bone and joint diseases, neuropathic pain, soft tissue pain, sleep disorders, osteoporosis and other diseases, comprehensive assessment, accurate diagnosis, personalized plan, precision treatment of the diagnosis and treatment principles, comprehensive consideration of systemic and local, neuraxial and extraspinal, pain and joint mobility, muscle strength and function, etc., the use of drug therapy, nerve block, PRP; TCM acupuncture, cupping, pestle acupuncture, acupuncture, acupuncture, orthopedics; Rehabilitation techniques, physical factors, radioactive extracorporeal shock waves, kinesiologic patches, exercise training, and minimally invasive interventional treatments guided by ultrasound, CB or CT positioning have eliminated pain and improved function for more than 500,000 patients, so that patients suffering from diseases can show a long-lost smile. At the same time of pain treatment, pay attention to the popularization of science knowledge and guidance for disease prevention. Instruct patients to improve some bad habits and postures in work and life, how to sit, stand, walk, lie down, etc., reduce the incidence of disease, let patients know that prevention and treatment linkage, eliminate pain, improve quality of life, from cognition to action is the process of doctor-patient cooperation.

In short, for chronic pain patients, look at the right department! Early diagnosis, early treatment! The Department of Pain is a comprehensive department that covers the diagnosis and treatment of a wide range of painful conditions. If patients experience pain symptoms that are difficult to relieve in daily life, it is recommended to visit a pain department in time for professional diagnosis and treatment.

Editor: Chen Congyao