Chronic pain syndrome is a fairly common pathology that can cause mental illness. Chronification of pain is a consequence of a violation of the nervous system. Many authors consider chronic pain syndrome as an independent disease. Neuralgia, tingling, body aches are the key signs of most diseases that cause suffering to millions of people. Experts say that every fifth person on the planet has experienced chronic pain.
Doctors often determine by exclusion the functional nature of painful sensations in the patient's body. Chronic soft tissue pain syndrome is also a diagnosis of exclusion. Moreover, 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 danger signal and evidence of a disruption in the functioning of organs or their systems in the body. In medical practice, chronic pain syndrome is often considered as a sign of any pathology that occurs due to injuries, tissue damage, inflammation or ischemia. At the same time, negative feelings are formed due to the coordinated work of a whole complex of protective reactions aimed at eliminating dysfunctions. Based on the above information, we can conclude that a full life of a person is impossible without a normal perception of pain.
Abdominal pain
Chronic stomach pain syndrome is a common ailment that is recorded both among children and among adults. There are a lot of factors provoking the development of pain in the abdomen:
- urogenital system pathologies (cystitis, urethritis, nephritis, ovarian cyst, endometriosis, salpingitis, oophoritis, etc.);
- hepatitis;
- pancreatitis
- gastritis;
- cholecystitis;
- digestive canal dysfunction;
- postoperative adhesive disease ;
- peptic ulcer;
- perforation of a hollow organ;
- granulomatous enterocolitis;
- appendicitis;
- foodborne toxicosis;
- Meckel's diverticulum;
- parasitic infestation;
- intestinal tuberculosis;
- gastroenteritis;
- pancreatic pseudocyst;
- Crohn's disease ;
- chronic appendicitis;
- abdominal epilepsy.
Abdominal Pain Therapy
The main role in the treatment of abdominalgia (chronic abdominal pain) belongs to the methods of mental exposure. In the treatment of pathology, hypnotic sessions, autogenic training, and behavioral psychotherapy are quite effective. Antidepressants (Fluoxetine, Paroxetine, Amitriptyline) and anti-anxiety (Clozepam, Diazepam), desensitizing (Tavegil, Suprastin) and anti-hypochondria (Frenolon) are prescribed to act on the central mechanisms of pain "Sonapax") means. Non-narcotic analgesics - “Diclofenac”, “Nimesil” are used as painkillers. A good result is obtained when using the methods of manual therapy, underwater traction, physiotherapy exercises and acupuncture.
Pain in the heart
Chronic heart pain syndrome is a frequently reported disease, the etiology of which is associated with many causes:
- psychogenic diseases;
- myocardial infarction;
- pathology of the spine;
- peripheral nervous system dysfunction;
- 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, anticholesterol diet therapy is indicated. Approved products include:
- nuts
- seafood;
- veal;
- berries, fruit drinks;
- lentils, beans, peas;
- vegetable soups;
- cereal cereals;
- sunflower seeds;
- dairy products (kefir, yogurt, low-fat cottage cheese);
- fruits, vegetables, dried fruits;
- unrefined vegetable oils (peanut, rapeseed, corn, sunflower, linseed, tortilla, olive);
- bran bread;
- natural marmalade;
- rosehip broth;
- skimmed milk;
- sea fish (hake, pollock, sprat, herring, cod, saffron cod, tuna, salmon, sardines, haddock, halibut);
- chicken fillet;
- natural juices.
To restore the heart and nervous system, doctors prescribe a course of physiotherapy. The presented treatment method is indicated for the following pathologies:
- stable angina pectoris;
- post-infarction cardiosclerosis.
The following procedures are related to physiotherapeutic methods of treatment:
- magnetotherapy;
- electrophoresis;
- electric sleep;
- water therapy;
- balneotherapy (treatment with mineral baths);
- low energy laser radiation.
The choice of therapeutic regimen depends on the etiology of the disease and diagnosis. If conservative methods of treatment are powerless, then surgery is performed.
Causes of pain in the pelvic area
Chronic pelvic pain syndrome is an urgent 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 is manifested for a reason associated with the morphofunctional features of their pelvis. Patients often go to the doctor with complaints of prolonged, periodically intensifying pelvic pains that are localized in the lower abdomen. Chronic pelvic pain is a rather vague and diverse concept, since most diseases of the pelvic organs (for example, urological, proctological, gynecological) can be accompanied by similar manifestations. The causes of the development of chronic pain in women are many.
Gynecological reasons:
- uterine fibroids;
- polyps of the uterine mucosa or cervical canal ;
- a foreign body in the pelvis;
- female genital tuberculosis;
- intrauterine contraception;
- prolapse of the internal genitalia;
- Allen-Masters syndrome;
- ovarian cyst;
- postoperative lymphoid cysts;
- genital malformations;
- carcinogenic formations in the body and cervix;
- painful menstruation syndrome;
- ovarian cancer;
- atresia of the cervical canal;
- postoperative adhesive disease.
Urological and gastroenterological reasons:
- bladder cancer;
- urethritis;
- urolithiasis disease;
- renal abnormality;
- urethral diverticulum;
- cystitis;
- ureterocele;
- inflammation of the paraurethral glands;
- colon cancer;
- hernias;
- constipation;
- Crohn's disease;
- colitis.
Neurological, muscular-ligamentous and bone reasons:
- neuralgia;
- an abscess of the iliopsoas muscle;
- coccyalgia;
- femoral or ventral hernia;
- iliac sarcoma;
- hip dysfunction;
- myofascial syndrome.
Chronic pelvic pain syndrome: 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-blockers;
- analgesics;
- muscle relaxants;
- non-specific anti-inflammatory and desensitizing drugs;
- plant adaptogens;
- membrane stabilizers;
- tranquilizers;
- sedatives;
- phosphorus preparations;
- novocaine blockade;
- antipsychotics;
- immunosuppressants;
- anticholinesterase drugs;
- corticosteroids.
Chronic Pain Syndrome: Treatment for Women
In the absence of a pronounced gynecological pathology, manual therapy and reflexology are prescribed . If signs of depression are identified, antidepressants can be used. If neoplasms are detected in the pelvic area, surgery is indicated. As a rule, laparoscopy is performed in the absence of a positive result from conservative methods of therapy.