Healthy Tips For Better Live

Doctors make a general distinction between acute pain from an injury that’s going to heal or disease that’s going to be cured, and chronic pain where you will be forced to deal with pain over a long period of time. So, for acute pain, all you need is a few pills and patience while the pain slowly fades away. Chronic pain should have a different approach but, for the following reasons, doctors prefer the pill bottle. If you look at the way the US healthcare service is organized, the basic motivation is making a profit. Because most patients carry some insurance, the strategy for doctors is to see as many patients in the day as possible so they can maximize the bill presented to the insurers for payment. In the good old days, a caring physician would take the time to get to know the patient and understand his or her needs. Now it’s straight to the business of writing out a prescription and calling for the next patient. Very few doctors ever take the time to investigate the underlying causes of the pain and find the best treatments because this takes time and time is money. Of course, the patients with the top-of-the-line insurance plans are covered. And the wealthy can afford to pay their own way to the best treatment. But the average citizen is on a conveyor belt to the fastest and easiest treatment which, by some strange coincidence, just happens to be a drug.

Why a coincidence? Because all the ads you see on television and in the newspapers and magazines, are paid for by the pharmaceutical industry. The corporations making the drugs are using hard-selling techniques to reinforce your dependence on pills as the primary form of treatment. That way, you go into your doctor’s clinic with the brand names of the relevant drugs on your lips. You are brainwashed into thinking the use of drugs should be the first response to all your problems. Why is this a problem? Because it’s turning the US into a country of addicts. Worse, as people continue to use many of the drugs, their tolerance increases and the effectiveness of the drugs declines. According to the National Centers for Health Statistics, approximately 75 million people in the US suffer some degree of chronic pain, i.e. pain giving them a poor quality of life. Agreeing, the American Pain Foundation offers a simple comparison. If you count up all the people who have cancer, strokes and heart disease every year, only a million or so die every year, but the pharmaceutical industry, hospitals and clinics devote vast amounts of time and money to offering treatments. Because there’s not the same amount of money to be made out of people suffering chronic pain, you are offered second-best service.

This is a political problem and, so far, there’s no sign the reform bills going through the House and Congress will deal with this. It all comes down to the priorities of how limited money is to be spent. On the one hand, you can be offered painkillers on a take-it-or-leave it basis. This is not so bad. Tramadol is an excellent drug and gives consistent relief from moderate to severe pain. Or you can be offered access to proper diagnosis and treatment. While we wait for a revolution, buy tramadol and find some relief from the pain of your condition.

The injuries we pick up when playing sports fall into two main classes. In contact sports, there are serious risks of broken bones, torn tendons or ligaments, or strains. The other less physical sports leave it to the players to damage themselves by repeating the same muscle movements excessively. So tennis, badminton and squash players find repetitive strain injury to their elbows. Runners damage their knees. Focussing on the muscle injuries, strains and tears always have the same pattern. You damage the tissue in the muscles or ligaments, and this produces inflammation. Pain, swelling and loss of function follow.

For a professional athlete, being unable to turn out for the team or to play the next big tournament can have serious financial implications. Doctors who specialize in sports injuries are therefore employed by all the top teams in football, baseball and soccer. The plan is always to get the stars back on the field again as quickly as possible. Except this can be controversial because, sometimes, treatment is accelerated for a particular match rather than for the benefit of the player’s long-term career. Many top players have had their careers cut short by knee injuries when their teams owner’s were too ambitious for success.

The inflammation is actually the first stage in the healing process. It encourages the growth of scar tissue that binds the torn tissue back together again. Doctors interfere in this natural cycle. The problem is simple. The average cycle of inflammation lasts about five days but, sometimes, it can go on too long and this delays the resumption of training. Thus, the first response is rest during the one or two days following injury. Therapies vary. Pick from heat, cold, compression, elevation and, where money is no object, the use of expensive technology like hyperbaric chambers. Drugs can be used to dull the pain, reduce the inflammation and so speed up the healing process. If the player is finding the affected muscles tensing up, skelaxin is the standard response the relax the affected muscles.

It’s important to understand that painkillers, anti-inflammatories and muscle relaxants do not treat the injury itself. Their only effect is to make you more comfortable during the initial phase of the healing process. Assuming surgery is not indicated for a more serious injury, say to the knee, your body will (slowly) heal itself. Except, of course, where money, status or pride is involved, people will spend the money and invest the time to improve on the natural process. Although everyone should always wait before resuming training, the passion and commitment that makes good players into the best also drives them to take shortcuts.

So, with the help of skelaxin during the resting phase, the player can slowly move on to stretching exercises and, initially, gentle exercise to regain mobility in the affected area. It’s best if no painkillers are used. Pain is a very useful warning you are trying too hard. There’s a serious risk you will aggravate the injury if you resume full training too early. Unless there’s a particular reason why you have to play, you should only move through the training regime at a safe pace. The risk of long-term damage and even longer layoffs is waiting to overtake you. In all this, you should be guided by your doctor and physical therapist. Assuming they are offering independent advice, they should guide you back to a long and successful playing career (whether as a professional or an amateur).

Copyright (c) 2009 Ken Hightower

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