2018 is here and what have You done? What are You going to do?
Firstly, narcotics work differently for acute and chronic pain. Evidence shows that narcotics are effective for short term relief of acute pain after surgery or in an emergency situation, like a broken leg. As time goes on and the acute injury (the break or the surgical procedure) heals or finishes, the side effects of the narcotics increase. Itching and constipation occur, and tolerance leads to a decrease in pain relief. This is chronic pain where opioids are ineffective. Your body produces its own pain relieving chemicals in response to pain or adversity. When you take narcotics or other painkillers, the body STOPS doing this. If you then stop the tablets, the body has to catch up again. This is painful and uncomfortable – We Can Help With That! (without more narcotics…)
Acute pain alerts us to injury or disease by sending a signal to the brain, saying “This is where you are hurt – attend to it”. Chronic pain is the afterlife of this acute pain, when the initial pain has affected the bodily tissues and the neurons in our pain system with false alarms, making us believe the problem is in our body when it is mostly in our brain.
This evocative description comes from Dr Norman Doidge‘s book ‘The Brain’s Way of Healing’. He describes a scientific theory of neuroplasticity, whereby the brain’s structure and function can be changed without medication, achieving long lasting positive changes.
Long Lasting Positive Changes are what we’re about at Partridge Street General Practice!
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