Chronic pain is a multidimensional syndrome. Pain is described as chronic when it persists and is recurrent beyond what could be described as usual given the initial cause (often more than three months).
Chronic pain may also be present after healing the wound. It generally responds insufficiently to the usual various treatments and causes a significant and progressive deterioration of a person’s abilities.
However, there are different treatments available to counter the effects of chronic pain and to recover physical functions.
Several treatments will require maintenance treatments in order to keep the same level of pain reduction. But other treatments do not involve any maintenance, because it reaches a stage. This depends on your condition and how severe this condition is.
This depends on several factors, including the dose of morphine to be substituted, the duration of use of morphine, and the pain condition that affects the patient. What I found in my practice is that using in co-analgesia, cannabis tends to reduce the doses of morphine needed.
Cortisone can help increase the risk of osteoporosis, especially if treatments are high doses and frequent. However, in some cases, they allow people to be more mobile, promoting physical activity that increases ossification. Age may also be a factor to consider, a more conservative approach will be chosen in younger patients in order to avoid long-term exposure. While in older patients, quality of life and mobility will be important factors in decision-making.
It is best to wait for treatment response before returning to daily activity or work, often a gradual approach at low intensity and duration will be preferred.
It is best to wait until the initial treatment is complete before changing the medication. If the person feels significant relief, they can gradually decrease their medication with my help or that of their Family Physician.
Ketamine infusions in chronic pain will be used in situations where conventional treatments (injections, medication) are ineffective or flat. For the treatment of depression, ketamine is used in patients who do not respond to at least two antidepressants. Thus some patients who receive ketamine infusion for the treatment of their pain condition will report an improvement in their mood.
Analgesic medication, intravenous infusion analgesics, medical cannabis are available options.
Methadone is the form of tablets and not liquid is used in chronic pain often in patients who experience tolerance to opiates (when opiates work less) because of prolonged exposure. Methadone is also very effective in the treatment of neuropathic pain (of nervous origin).
Some treatments require support, as some may temporarily affect mobility or reflexes.
The goal of the treatments is not to cure the patient, but to relieve him, a decrease of at least 30% of his initial pain, not all treatments give the same results from one patient to another, knowing that the disease differs, its chronology and especially the person.