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Are Pain Medications Preventing You from Healing?
We all know that pharmaceutical painkillers are much stronger than nearly anything you can find in nature. There’s no comparing cannabis, cloves, or magic mushrooms to powerful drugs like fentanyl and isotonitazene. So why are a growing number of people turning away from opioids in favor of milder treatment options? Aside from obvious safety issues with the former, the answer to that lies in part in how we, as a society, view pain in the first place.
Is pain something that should be immediately and completely masked, or are there some healing components to allowing our bodies to feel discomfort? Is our culture of hiding from anything that feels bad, keeping us in a perpetual state of illness?
Pain defined throughout history
Pain is not a condition in and of itself, but rather a symptom of many other diseases or disorders, indicating something is wrong with our bodies. Pain is incredibly complex and can vary significantly between people, even those who share similar illnesses or injuries. Pain can also range in severity, as well as in the way it’s felt. Some variations of pain can include pricking, tingling, stinging, burning, soreness, aching, and many other unpleasant sensations.
The entire spectrum of pain consists of hundreds of different types of disorders and syndromes. For instance, you can experience pain following an injury, or chronic pain related to aging. Pain can also be neurological, like migraines. Heart attacks, cancer, and childbirth all cause different forms of pain. When it comes to clinical diagnoses, healthcare providers typically group pain into one of two categories: acute or chronic. Acute pain comes on suddenly and intensely, and is usually the result of a traumatic injury or surgery.
Chronic pain persists over a longer period of time, and can be difficult to manage. Chronic pain affects very 50 million American adults, and it’s one of the most common reasons people seek medical care. Although some medical professionals consider chronic pain to be its own medical disease, there is always an underlying cause.
Again, pain is our natural warning sign that something is not right. The purpose of feeling pain is to change our course of actions – be it limiting certain activities, eating different foods, doing certain exercises, and so on. It’s remarkably specific in letting us know what activities will further aggravate an area, and in preventing us from doing said activities.
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What the research says
Pain is something that has long-confused physicians, so in an effort to better understand it, they started tracking their patients’ discomfort at all times. For a while, pain was even referred to as “the fifth vital sign”, officially declared so in 1999, but the move was met with great controversy and continues to be a point of contention in the healthcare industry to this day.
Regardless, the goal was for doctors to take more cognizance of pain because it can be an important factor in determining the overall health and mental state of a patient. The problem was that, the quest to gain a better understanding of pain eventually turned into a mission to mask pain entirely, not necessarily treat its root causes.
Some issues come along with masking pain, the most obvious being that if you don’t feel any pain, you may not take the correct actions to manage and heal your ailment, leading to further injury. Another problem that is rarely discussed, is the role of pain management medications in the actual treatment of pain. For a long time, it was commonly believed that pills helped, but recent studies show that many frequently used pharmaceuticals actually hinder the healing process.
It is well established in scientific literature that NSAIDs can impede the healing of broken bones, damaged ligaments, and other musculoskeletal tissues. Many surgeons many avoid suggesting or prescribing these medications because of the growing concern in how they negatively impact callus formation and decrease the activity of COX isoenzymes that decrease the synthesis of prostanoids.
Another drug of great controversy – opioids. How much are these incredibly dangerous drugs that have caused hundreds of thousands of overdose deaths over the last decade, even aiding in the healing process? Short answer, not very much at all – according to recent studies.
A study published in 2017 found that patients who were treating wounds with opioid doses over 10mg per day exhibited slower rates of healing than patients who took less than 10mg or none at all. Other studies have also suggested that opioid use may negatively impact wound healing by reducing immune activation, impacting tissue oxygenation and angiogenesis, and altering myofibroblast recruitment as well as impacting keratinocyte cytokine production, endothelial proliferation and angiogenesis.
Other drugs that can slow wound healing are cytotoxic antineoplastic and immunosuppressive agents, corticosteroids, and anticoagulants. Additionally, all drugs in the pain relief category can theoretically interfere with healing by masking pain and thus allowing you to continue to hurt yourself without immediately realizing it.
My personal experience with pain
To not sound completely tone-deaf here, I do understand that certain levels of pain can make life unbearable. I’ve been blessed in not having to experience chronic, debilitating pain personally, but I have had a handful of injuries and surgeries in my life that left me in pain or discomfort for a few weeks to a few months at a time.
I also suffer from frequent migraines and cluster headaches, which come on strong and fast. Normally, I try to take it easy, drink a lot of water, eat food, and avoid smoking until it goes away. Admittedly, I’ll pop an Excedrin occasionally if I don’t have time to tend to naturally, but I try to avoid that as the regular use of any acetaminophen-based drug can cause significant damage to the body, particularly the liver.
Right now, I’m drawing from my experience of giving birth, comparing how it went when I received epidural versus a natural birth. First, it’s important to note that babies whose mothers receive an epidural are more likely to develop respiratory distress syndrome once the child is born. Epidural anesthetic is sometimes combined with opioid drugs as well, which can cross the placenta and add to the risk of developing respiratory depression.
Babies who have are exhibiting such problems likely end up going to the hospital’s neonatal intensive care unit (NICU). While staying in the NICU may not seem harmful on the surface, it means that mother and baby are separated immediately after birth. And when you use epidural, you can’t move your legs for a couple of hours after giving birth, so if the baby is not in the same room with you, that’s even longer spent away from them during their first moments on this earth, and this can have profound effects on the emotional and physical well-being of both baby and mom.
This is what happened to me when I gave birth to my first son with epidural. The labor was about 10 hours, I had to be put on oxygen at numerous points during the process, and my baby was born with some breathing issues that made it difficult for him to breathe through his nose while eating. He was taken to NICU right away, but even while there he had issues for a couple of weeks. At one point during a feeding, he stopped breathing completely for a few seconds and turned blue, it was the most terrifying thing I’ve ever experienced.
Were these issues causes by the epidural? It’s hard to say, but very possible. Especially when comparing that ordeal to the birth of my second son, which was done completely naturally. No problems during the labor which last less than one hour from start to finish, baby had absolutely no issues, and we were discharged in about 1 day.
In my opinion, that’s very telling of the types of complications that can arise when unnecessary medical intervention is at play.
Final thoughts
Pain management is a complicated and sensitive subject for many people, patients and medical professionals alike. Pharmaceuticals have their place in modern medicine, but it’s important to take a closer look at their overall role in treating pain over the long term. These recent discoveries place greater importance on treating the root causes of pain, in order to get patients off their medications as quickly as possible.
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Related
In the news today regarding the famous canal – but what about Panama and marijuana?
Panama is the only place in the world where the sun rises in the Pacific Ocean and sets in the Atlantic Ocean. It is slightly smaller than South Carolina but has more bird species than the continental United States. It’s also home to many natural attractions, including whitewater rafting, snorkeling, and birding. Long a friend, it was the first Latin American country to use the US dollar as its currency. Now it is the news with the new administration. Considering the talk here, what about Panama and cannabis?
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The economy of Panama is based mainly on the tourism and services sector, which accounts for nearly 80% of its GDP and accounts for most of its foreign income. Services include banking, commerce, insurance, container ports, and flagship registry, medical and health. Enjoy a significant number of travelers who enjoy adventure, outdoor activities and chilling, the country’s stance on marijuana is evolving.
The government envisions creating a robust local industry that not only meets domestic needs but also positions Panama as a potential hub for international medical cannabis trade. While they are making advancements in medical cannabis regulation, recreational use remains illegal in Panama. The law against recreational cannabis is often unenforced, leading to a culture where its use is tolerated among the youth. Both the public and tourist find it an easy atmosphere.
Panama has one of the fastest growing economies in Latin America and has as stable government. Like the United States, it is a republic and engages the public. They have evaluated cannabis as a benefits and have moved to integrating into their healthcare.
They are more popular than dating apps and are consider a best friend – but are they really there when you need them emotionally?
They are man’s best friend with 38% of Canadians and roughly 50% of Americans having a dog. In the US more men have dogs and in Canada more woman have the furry companion. While they are fun, loving and play, does your dog really care when you are sad? Dogs have long been known as loyal companions, but recent research suggests that their emotional intelligence may run deeper than mere companionship; they can actually empathize with their owners’ feelings, particularly during times of distress.
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A study published in the journal Learning & Behavior explored how dogs respond to their owners’ emotional states. Researchers found that dogs not only recognize when their owners are upset but also take action to provide comfort. In the experiment, 34 dog-owner pairs were observed in a controlled setting where owners either cried or hummed a cheerful tune. The results showed that while the dogs opened a door to reach their owners at similar rates, those who heard crying did so significantly faster—averaging just 23 seconds compared to 96 seconds for the humming group. This indicates that dogs are more inclined to respond quickly when they perceive their owner is in distress.
Interestingly, the study also noted physiological responses in dogs when their owners cried. Dogs that opened the door displayed lower stress levels than those who did not, suggesting that while they were affected by the owner’s crying, they were not overwhelmed by it. Conversely, dogs who showed high levels of stress likely cared deeply but were too anxious to act. This highlights a range of emotional responses among dogs, similar to human reactions.
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The bond between dogs and their owners plays a crucial role in these empathetic behaviors. Dogs with stronger attachments to their owners exhibited quicker responses to distress signals. This bond is essential as it fosters a mutual understanding of emotions, allowing dogs to act on their instincts to comfort their human companions. As research continues to unfold, it becomes increasingly clear that our canine companions are not just pets; they are emotionally attuned partners capable of providing significant comfort during our most challenging moments.
There are beloved and fun – and some of the classic and Spaghetti western’s have some fun
From today’s hit like Yellowstone to the old school TV classics like Gunsmoke, Bonzana and High Chapperell. Riding the wave of popularity, in the 60s and 70s a subgenera appeared in Italy produced with low budgets. Sergio Leone is considered the pioneer of the spaghetti Western genre. Leone was an Italian filmmaker who directed several and help make them popular. They are know for their anti-her and supervision of traditional Western tropes. All of If you look past the plots, you can see there is value in what they share. Here are some fun life lessons learned from Spaghetti Westerns.
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Love
If you pay attention, Westerns can teach you more about love and sex than a Prince song, and that’s saying something. Setting the stage – say you’re drinking at your favorite saloon and a local tough just called a barmaid a wench while grabbing her arm. You would get up, punch the guy square in the jaw and fighting would commence. After you win (of course you would win because you’re a good guy and good guys always win), the barmaid would take you upstairs, clean your wounds and then she would sleep with you. Ah, the good old days, where all it took to get laid was risking personal safety. Say what you want, it’s still better than Tinder.
Alcoholism is a career option
In the Old West, being a drunk was a totally viable career option. In fact, it was damn near necessary. Every respectable town needed a town drunk. Why? How would you know who the respectable people were if there were no unrespectable people to compare? It wasn’t a bad living. You’d stumble out of bed, clock in for work stinking of whiskey, wearing the same clothes you went to bed in.
Fashion
In the Old West, wearing black meant you were a crappy person with no scruples or morals to speak of. In today’s society, wearing black usually means you’re a New Yorker, which to the rest of the world, coincidentally, means you’re a crappy person with no scruples or morals to speak of. In the Old West, all the bad guys wore black. So unless you were on the wrong side of the law, black was out of the question. Which is really too bad because black is really slimming. It’s a shame clothing can be so stigmatized.
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How to be a man
Being a “man” may be a subjective thing in our modern times — but in the old West, there was a litmus test of manhood. Men had to be tough, brave rugged and tall. If you weren’t tall — that’s OK, you just had to have a complex about it and punch every third man you saw in the jaw. Why? Because you’re a man that’s why! But you also deeply loved your horse, you dog, and, while you didn’t show it, the few friends you have. You also stood up for what you believe in – sometimes when the odds are against you.
The 1966 classic The Good, the Bad and The Ugly is said to be best spaghetti Westerns ever made. Take a little time and enjoy the blending of Westerns, culture, art and more.
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