Syndrome of chronic pain. How to treat pain syndrome?

The syndrome of chronic pain is a fairly common pathology that can cause mental illness. Chronicity of pain is a consequence of a malfunction of the nervous system. Many authors consider chronic pain syndrome as an independent disease. Neuralgia, tingling, numbness in the body are the key signs of most diseases, causing suffering to millions of people. Experts claim that one in five people on the planet came across a problem of chronic pain.

Physicians often by the method of exclusion determine the functional nature of painful sensations in the patient's body. Syndrome of chronic soft tissue pain is also a diagnosis of exclusion. In this case, unpleasant manifestations of a different nature may be practically absent. And in this case, the patient is diagnosed with "chronic pain syndrome". As a rule, pain is localized in the back, heart, joints, abdomen and head.

The biological role of pain

Such unpleasant sensations in their biological origin are a signal of danger and a testimony about the violation of the work of organs or their systems in the body. In medical practice, chronic pain syndrome is often considered as a sign of any pathology that arises from injuries, tissue damage, inflammation or ischemia. In this case, negative feelings are formed due to the well-coordinated work of a whole complex of protective reactions aimed at eliminating dysfunctions. Based on the above information, we can conclude that a person's full life is impossible without a normal perception of pain.

Abdominal pain

Syndrome of chronic abdominal pain is a common ailment, registered both among children and among adults. Factors that provoke the development of pain in the abdomen, a lot:

• Pathology of the genitourinary system (cystitis, urethritis, nephritis, ovarian cyst, endometriosis, salpingitis, oophoritis, etc.);
• hepatitis;
• Pancreatitis;
• gastritis;
• cholecystitis;
• Dysfunction of the digestive canal;
• Postoperative adhesions ;
• Peptic ulcer;
• Perforation of a hollow organ;
• Granulomatous enterocolitis;
• appendicitis;
• Food poisoning;
• Meckel's diverticulum;
• Parasitic infestation;
• Intestinal tuberculosis;
• gastroenteritis;
• Pancreatic pseudocyst;
• Crohn's disease ;
• Chronic appendicitis;
• Abdominal epilepsy.

Therapy of abdominal pain

The main role in the therapy of abdominalgia (chronic abdominal pain) belongs to the methods of psychic influence. In the treatment of pathology, hypnotic sessions, autogenic training, behavioral psychotherapy are effective enough. Antidepressants ("Fluoxetine", "Paroxetine", "Amitriptilin") and anti-anxiety drugs ("Klozepam", "Diazepam"), desensitizing ("Tavegil", "Suprastin") and anti-hypochondriac ("Frenolone", " Sonapaks) means. As painkillers, non-narcotic analgesics are used - Diclofenac, Nimesil. A good result is obtained with the use of methods of manual therapy, underwater traction, physiotherapy exercises and acupuncture.

Pain in the region of the heart

The syndrome of chronic pain in the heart is often a registered disease, the etiology of which is associated with a variety of reasons:

• Psychogenic diseases;
• Myocardial infarction;
• Pathology of the spine;
• Dysfunction of the peripheral nervous system;
• Myocardial dystrophy;
• pulmonary embolism;
• myocarditis;
• Arterial hypertrophy;
• Heart defects;
• Hypertrophic cardiopathy;
• pericarditis;
• pleurisy;
• Angina pectoris;
• pneumonia;
• mitral valve prolapse;
• Diaphragmatic abscess.

How to treat?

In the treatment of heart disease, anti-cholesterol diet therapy is indicated. The permitted products include:

• Nuts;
• seafood;
• veal;
• Berries, fruit drinks;
• Lentils, beans, peas;
• Vegetable soups;
• Cereal cereals;
• Seeds;
• Fermented milk products (yogurt, yogurt, fat-free cottage cheese);
• Fruits, vegetables, dried fruits;
• Vegetable unrefined oils (peanut, rapeseed, corn, sunflower, linseed, maize, olive);
• Bread with bran;
• Natural marmalade;
• Broth of wild rose;
• skimmed milk;
• Sea fish (hake, pollock, sprat, herring, cod, navaga, tuna, salmon, sardines, haddock, halibut);
• chicken fillet;
• Natural juices.

To restore the work of the heart and the nervous system, doctors prescribe a course of physiotherapy. The presented method of treatment is indicated in the following pathologies:

• Stable angina of tension ;
• Postinfarction cardiosclerosis.

Physiotherapeutic methods of treatment include the following procedures:

• Magnetotherapy;
• Electrophoresis;
• Electrosleep;
• Aqua therapy;
• Balneotherapy (treatment with mineral baths);
• Low - energy laser radiation.

The choice of a therapeutic regimen depends on the etiology of the disease and the diagnosis. If conservative methods of treatment are powerless, then surgical intervention is performed.

The causes of pain in the pelvic region

The syndrome of chronic pelvic pain is an actual problem for many women and men. The development of prostatitis is the main cause of pelvic pain in the stronger sex. In women, most often this pathology manifests itself for reasons related to the morphofunctional features of their pelvis. The doctor is often treated by patients with complaints of prolonged, periodically intensifying pelvic pains that are localized in the lower abdomen. Chronic pain in the pelvic region is quite a "vague" and diverse concept, since most diseases of the pelvic organs (for example, urological, proctologic, gynecological) can be accompanied by similar manifestations. Causes that provoke the development of chronic pain in women, a lot.

Gynecological causes:

• Uterine myoma;
• Polyps of the uterine mucosa or cervical canal ;
• Foreign body in the small pelvis;
• Tuberculosis of female genitalia;
• Intrauterine contraception;
• Prolapse of internal genitalia;
• Allen-Masters syndrome;
• Ovarian cyst;
• Postoperative lymphoid cysts;
• Abnormalities of genitalia;
• Carcinogenic formations in the body and cervix;
• Syndrome of painful periods;
• Ovarian cancer;
• Atresia of the cervical canal;
• Postoperative adhesions.

Urological and gastrointestinal reasons:

• Cancer of the bladder;
• urethritis;
• urolithiasis disease;
• Anomaly of kidney development;
• Diverticulum of the urethra;
• cystitis;
• Ureterocele;
• Inflammation of the paraurethral glands;
• Cancer of the large intestine;
• Hernia;
• constipation;
• Crohn's disease;
• colitis.

Neurological, muscular-ligamentous and bone causes:

• neuralgia;
• Abscess of the ilio-lumbar muscle;
• Coccidia;
• Femoral or ventral hernia;
• Sarcoma of the ilium;
• Hip joint dysfunction;
• Myofascial syndrome.

Syndrome of chronic pelvic pain: treatment in men

Treatment depends on the etiology of the disease. In the presence of chronic neuropathic pain syndromes, the following groups of medicines are prescribed:

• Anticonvulsants;
• Α-adrenoblockers;
• Analgesics;
• Muscle relaxants;
• Nonspecific anti-inflammatory and desensitizing drugs;
• Plant adaptogens;
• Membrane stabilizers;
• Tranquilizers;
• Sedatives;
• Phosphorus preparations;
• Novocain blockades;
• Antipsychotics;
• Immunosuppressors;
• Anticholinesterase drugs;
• Corticosteroids.

Syndrome of chronic pain: treatment in women

In the absence of a clearly expressed gynecological pathology, manual therapy, reflexotherapy is prescribed . When identifying signs of depression, you can use antidepressants. When a tumor is detected in the pelvic area, surgical intervention is indicated. As a rule, laparoscopy is performed in the absence of a positive result from conservative methods of therapy.