Persistent Pain

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All pain comes from the brain and 1 in 5 people have that lasts more than 3 months.

Pain that lasts more than 3 months is different to a new onset pain and the approach to managing it is different.

After an initial assessment to rule out dangerous causes, a shift to an approach that does not rely opioid (morphine-type) medications is appropriate. This structured approach is aimed at  re-training the brain to decrease the pain and  includes addressing :

  • Anxiety /depression
  • Ongoing support
  • Reconnecting to life
  • Establishing good sleeping habits
  • Avoid excessive rest
  • Regular activity at comfortable levels
  • Healthy eating to  reduce inflammation within the body

Watch the two videos from Brainman below:

“Understanding pain in less than five minutes”
Understanding Pain: Brainman chooses”

Opioid medications are not as good as we used to think for non-cancer pain. They may work in the short term, but this effect wears off quickly. Higher doses may work for a time, but the benefit does not last.

Even worse, opioids can quickly increase the  sensitivity of the nervous system and “wind up” pain.

Opioids often develop other problems:

  • Falls
  • Lower sex drive
  • Poor Sleep
  • Lower immune function
  • Addiction
  • Accidental over dose
  • Death.

In short opioids are usually not the right treatment for non-cancer pain.

The video  “:Understanding Pain: Brainman stops his opioids” explains this further

“:Understanding Pain: Brainman stops his opioids”

To see Brainman videos in languages other than English click this link

Our doctors can help you acess the right team to help you. This may involve:

  • Your GP
  • Physiotherapist
  • Exercise physiologist
  • Pain Specialist
  • Psychologist
  • Dietician

We can help you access Medicare funding to help see Allied Health Providers who are part of your team. See out page on Chronic Disease Management for more information how this works.

Book an appointment online line with your family doctor in Wishart here.

Brainman is a project of a team from Hunter Integrated Pain Service (HIPS), University of South Australia, University of Washington and Hunter Medicare Local (Hunter ML).