Pain management will continue to be an important facet of health care as America's baby boomers age and more of them develop chronic illnesses. If you are fighting pain, tell your doctor. There are many pain treatments that can give you relief, and others
Baby boomers are getting older, and effective pain treatment is
becoming more important all the time -- no coincidence there.
Just take a quick look around at your doctor's office. Chances
are pretty good you'll find a pain chart produced by the Joint Commission of
Accreditation of Health Care Organizations, or JCAHCO. The chart, a requirement
for an office or other health facility to win JCAHCO accreditation, helps
patients rate their pain for the doctor on a scale of 1 to 10.
If you look at an adult foot from the inside, you'll usually notice an upward curve in the middle. This is called an arch. Tendons -- tight bands that attach at the heel and foot bones -- form the arch. Several tendons in your foot and lower leg work together to form the arches in your foot.
When the tendons all pull the proper amount, then your foot forms a moderate, normal arch. When tendons do not pull together properly, there is little or no arch. This is called flat foot or fallen arch.
OK, you say, after doctors ask you where it hurts, they'll
follow up by asking how much -- what's the big deal? Experts say it's part of a
movement toward recognizing and treating a patient's pain more aggressively.
That's good news for the aging American population.
"Consumers have often had low expectations for pain
treatment, but that is changing as a large portion of our population, the baby
boom generation, moves into the years where chronic pain from such sources as
arthritis and low-back pain is so very common," says James N. Campbel, MD,
professor of neurosurgery at the Johns Hopkins University School of Medicine
and director of the Blaustein Pain Treatment Center of the Johns Hopkins
Hospital, both in Baltimore.
"Having terrible pain is not good for people. It influences
all aspects of life: mood, concentration, motor performance, sleep, social
relations. New evidence indicates that pain affects the immune system such that
cancer cells appear to grow faster when there is pain. Being a stoic and
putting up with severe pain is not necessarily good for patients."
Changing How We Think About Pain
"The JCAHCO standards mandate monitoring of pain," says
Russel Portenoy, MD, a pain specialist at Beth Israel Hospital in New York
City. "Gradually, doctors will learn that they must listen to the patient
and take complaints of pain seriously. Pain is on the map now, thanks in part
to the pain guidelines and thanks in part also to research that shows pain is
more of a stand-alone illness than we ever thought it was. Attitudes are
Arthritis and low-back pain take an enormous toll on those over
50. The American Society of Anesthesiologists puts it into perspective:
Low-back pain disables 5 million people in the U.S. and forces people to
lose 93 million work days each year.
There are 66 million Americans with arthritis. One-third of them have to
restrict their daily activities because of pain.
Campbel says that for people 50 and older, the best pain
management approaches for arthritis and low-back pain start with the idea that
pain should be treated according to the intensity and duration of pain, patient
expectations, and patient tolerance.
If pain is severe and sudden, then it might be appropriate to
try to control it with an anti-inflammatory drug, such as Advil, Aleve, or
Motrin, he says. In April 2005 the FDA asked that over-the-counter
anti-inflammatory drugs -- except for aspirin --
revise their labels to include information about potential heart and
stomach ulcer bleeding risks. If anti-inflammatory drugs do not work and pain
is severe or even disabling, then use of narcotic painkillers should be
considered, he says.