
The goal of pain relievers is to help make pain manageable
According to SignonSanDiego given the choice between pain and nothing, William Faulkner once said he’d choose pain, which makes a kind of sense if you’re a novelist, but not so much if you’re a scientist trying to decipher the basic physiology of pain or a doctor who sees patients in its terrible grip every day.
The choice for us is different. Our goal is to understand pain so that we can reduce it to something close to nothing, a goal that may not be possible but which demands every effort.
Recently, scores of our peers – scientists, physicians and health-care professionals – gathered in San Diego to discuss pain: its nature, new methods of investigation and, most importantly, quicker and more efficient ways to convert discoveries made at the bench to treatments at the bedside.
Called “Pain 2010” and sponsored by the Clinical and Translational Research Institute at the University of California San Diego and the journal Nature Medicine, the three-day symposium featured talks that were cutting-edge, illuminating and optimistic. Yet the more scientists and physicians learn about pain, the more we realize how much remains to be learned.
Pain is an often intractable, astoundingly complicated foe. Or rather, foes. There are many kinds of pain and many causes. No single medication treats every type of pain or works every time for everyone. Among current analgesics, it is estimated that, on average, none reduces pain more than 30 percent in more than 50 percent of patients. And some of the most effective anti-pain drugs, like the opioid morphine, have significant, adverse side effects.
Most people are surprised to hear that many new patients question the pain of each plastic surgery. Dr. Stuart Kincaid explains that every patient is different and has a different threshold for pain. Breast augmentation with implants placed behind the muscle is painful and causes discomfort for about one week. Abdominoplasty is also one of the more painful procedures. Dr. Stuart Kincaid prescribed medication to help patients manage the pain. The overwhelming majority of patients who have had plastic surgery say they would do it again and the pain was worth it.
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