Beaumont News March 2019

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V o lu me T h i rt y T h ree , N umber 3

Managing pain includes a wide range of treatments; efficacy and safety vary By Virginia Rivers

Pain, that most subjective and personal experience, is a sensation most of us want less of. And so we filled the Ballam Theater on a March afternoon to hear Beaumont Medical Director Charles Breish, M.D., discuss what brings it on, how it’s measured and how it can be managed. Noting that pain prompts a fifth to half of patients’ visits to their doctors, Dr. Breish described a range of treatments. Physical therapy and massage are often helpful; acupuncture may work for some; and mindfulness or meditation can also be effective. Medicating pain has long been the most popular approach, with time-honored substances, such as wine and other alcoholic beverages, and newer products, both over the counter (OTC) and Photo by Linda Madara by-prescripWOW! AND OUCH! A St. Patrick’s Day Irish tion-only step dancer gives it her all. See more wearing of medications. the green on page 8.

March 2019 The once-favored OTC remedy aspirin has largely been replaced by acetaminophen, which has the most favorable side effect profile, especially when following a fixed regimen such as three times per day. However, “most favorable side-effect profile” does not Photo by Brock Nichols equate to no side effects. WHAT’S THAT? Several A review of the mediof these mysterious fittings are cal literature indicates attached to baseboards in the an association between mansion. They were installed high doses (both acute when the house was built. Any and chronic) of acetaminophen and damage ideas? (Answer is on page 2.) to the liver. Your physician should be aware of extended use of any medication. In alternative approaches to pain management, muscle relaxants and anti-convulsive medications may be recommended. The discovery that pain may be magnified by depression has led doctors to prescribe antidepressants. Asked whether pain can be diagnosed as “real” or “imagined,” Dr. Breish said that it is difficult to define or describe a patient’s perception of pain. A more potent pharmaceutical approach to pain management is the use of opioids. This is a popular alternative in the United States: for example, U.S. consumers account for 80 percent of oxycodone use worldwide. Opioids are a popular but potentially risky way to treat pain. They can affect brain chemistry, leading to addiction. They can increase the risk of falling. They can cause confusion. Cannabis, aka marijuana and “weed,” can be useful in treating pain, tremors and other symptoms of Parkinson’s disease: Irene Borgogno wrote about her experience in the October 2018 issue of the Beaumont News. Capsules of one of marijuana’s components, cannabidiol or CBD, are available, where legal, in drugstores and some supermarkets.

MANAGING PAIN continued on page 7


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