As a result of the prolongation of the average life expectancy, the number of patients and diseases that are not fully treated or require continuous treatment is increasing.
With the advancement of medical and surgical treatments, the development of new technologies and the improvement of living conditions, the average life expectancy in our country and in the world is increasing. As a result of the prolongation of the average life expectancy, the number of patients and diseases that are not fully treated or require continuous treatment is increasing. Diseases such as restless legs syndrome and fibromyalgia, which were not known to the public before, have now become a part of our daily lives. In addition to the reasons listed above, many reasons increase the number of people living with pain.
So, do those living with this pain receive adequate pain treatment? It's impossible to say yes to that. We can understand this from our patients who come to the pain clinic. There are many reasons why pain management is inadequate. First of all, each physician generally attaches more importance to the treatment of the disease related to his/her specialty than pain. He thinks that if he can prevent the disease, the pain will decrease or disappear. More precisely, the patient's pain is often not given enough attention during the treatment. What kind of statements do healthcare professionals make to patients with pain or their relatives? Let's give some examples.
“There will be so much pain. You're going to hold out for a while”.
“Your pain threshold is very low. Otherwise, you shouldn't have this much pain."
“This pain will accompany you throughout the illness. You will learn to make friends with pain”.
"We've tried all the painkillers, there's nothing we can do for your pain"
Such erroneous statements both demotivate patients and cause them to exhaust their search for remedies. The restlessness and depression experienced by the patient with pain are also reflected in the family members with whom they live.
Of course, it is very important to find the cause of the pain and eliminate it. If the cause of the disease cannot be eliminated or the cause cannot be found, we still apply pain treatment and eliminate the pain of the patients. When we find the cause and start the treatment, we prefer drugs as the first step. Medicines are very diverse and we divide them into groups and start according to the severity of the pain. In cases where the drugs do not help, we apply further treatments. These advanced treatments vary according to the type and severity of the disease. These include treatments such as injections, destroying nerves with chemicals or heat, or inserting pain pumps. These advanced treatments consist of day procedures that do not require hospitalization. During the treatments, we also get opinions from other branches as needed.
I would like to give an example of one of my patients. He suffers from trigeminal neuralgia (Sudden facial pain). In other words, one half of the face is suddenly electrocuted or a knife stabbing pain occurs. Sometimes this happens every 5 minutes. He has been using drugs for 10 years, but he has not benefited from the drugs. Since the patient's pain was resistant to drugs, we destroyed the patient's nerve causing pain with the heat method we call radiofrequency thermocoagulation. The patient was relieved of pain that reduced his quality of life for 10 years. We can give similar examples for low back and headaches.