evidence-based pain relief: “the big five”

EVIDENCE-BASED MEDICINE AND PAIN RELIEF
CAN THE EVIDENCE
BE TRUSTED?

Chronic Pain

Shakeelgilgity

The American MEDICAL and PHARMACEUTICAL INDUSTRIES (not to mention the FDA) are a lesson in contradictions.  On one hand, they try so hard to show the world how PC they are by touting the (erroneous) fact that everything done for patients here in the US is based on the “BEST EVIDENCE” (Evidence-Based Medicine).  On the other hand, every time we turn around, we see that this evidence is being manipulated in every conceivable manner (HERE) for FINANCIAL GAIN.

Furthermore, as crazy as it sounds, a huge portion of our nations medical interventions are based on IMMUNE SYSTEM SUPPRESSION.  And to top it all off, it’s no secret that while individual physicians might be compassionate, caring doctors, who will do whatever they can to help their patients, the ‘SYSTEM‘ they work in is only interested in providing symptomatic relief.  It’s all about helping people ‘manage’ their disease(s) as opposed to helping people turn their lives around by actually getting healthy and staying healthy (HERE is a prime example of this phenomenon). 

The underlying (and unspoken) goal in this type of care is to have you live longer, with more chronic pain and illness —- which is exactly what is going on here in America (HERE).  What are the chief pharmaceutical culprits in our medical war on pain and dysfunction?  Easy; “The Big Five” — Pain Pills, Muscle Relaxers, NSAIDS (Non-Steroidal Anti-Inflammatory Drugs), Steroids (Corticosteroids), and Depression Meds.

  • PAIN PILLS:  CHRONIC PAIN is more than just a bummer.  It’s a life-altering nightmare that can leave you wondering if putting a gun in your mouth might be a better option.  Although I have written about PAIN MEDS, addiction is so prevalent that statistics are outdated as soon as the next new study is published.  The May issue of Pain Medicine said that, “There is increasing concern about the appropriateness of prescribing pharmaceutical opioids for chronic non-cancer pain (CNCP), given the risks of problematic use and dependence.  In this population of people taking opioids for CNCP, consumption of higher doses was associated with increased risk of problematic behaviors, and was more likely among people with a complex profile of physical and mental health problems.”  Furthermore, the June issue of the Journal of Addictive Diseases revealed that, “The number of persons dependent on pain relievers…..  is more than three times greater than the current capacity to deliver treatment.” In 2017 we learned that addiction to prescription pain meds is costing us 3% of our GDP. Suffice it to say that pain meds, while necessary in certain cases, are never a great long-term treatment option. 

  • ANTI-INFLAMMATORY MEDICATIONS (NSAIDS):   More doses of medications from THIS CLASS OF DRUGS are taken by Americans each year (thirty billion) than any other.  The most well-known drug from this class is Ibuprofen, and includes both Advil and Motrin.  There are scores of others (TYLENOL / ACETAMINOPHEN, while not considered an NSAID, has more than it’s share of problems associated with it).  I am certainly an advocate of getting rid of INFLAMMATION.  However, I would suggest that there are superior ways than taking these drugs if you have ARTHRITIS, NECK PAIN, HEADACHES, SHOULDER PROBLEMS, etc.

  • CORTICOSTEROIDS:  If there is a commonly-prescribed class of drug with more (ugly) side-effects than CORTICOSTEROIDS, I’m not really sure what it is.  In fact, I went to the Pathology Textbook I used in school to show you how corticosteroids work, especially when used against FIBROSIS and SCAR TISSUE, as well as what those in the field are saying about them (HERE).

  • ANTIDEPRESSANTS:  For the past decade or so, the trend has been to prescribe people with Chronic Pain — especially pain of an unknown origin such as MUPS or “MYSTERY PAIN” (the vast majority of pain patients) — ANTIDEPRESSANT MEDICATIONS.  Please bear in mind that in similar fashion to virtually all health problems (HERE), DEPRESSION is itself CONSIDERED TO BE INFLAMMATORY (or HERE).  The June issue of European Neuropsychopharmacology (Inflammation and Clinical Response to Treatment in Depression: A Meta-Analysis) looked at the relationship between Depression and three common markers of Inflammation (IL-6, TNFα & CRP).  “The depressive state has been characterized as one of elevated inflammation.  Our findings suggest that elevated levels of inflammation are contributory to treatment resistance.”  Unfortunately, as many have said before me, we live in the “Inflammation Nation”.

I would suggest to you that even if your pain is due to CENTRAL SENSITIZATION, there’s a better way than only taking drugs — a way that would likely allow you to dramatically cut the amount of Systemic Inflammation coursing through your body and at the very least, allow you to cut back on the amount if medication you are taking (HERE).   Why would you want this?  Take a look at the stats below.

The following statistics are taken from our own government’s (NIH) website on drug addiction — drugabuse dot gov (Popping Pills: Prescription Drug Abuse in America)

  • 52 Million people in the US, over the age of 12, have used prescription drugs non-medically in their lifetime. 
  • 6.1 Million people have used them non-medically in the past month. 
  • The United States is 5% of the world’s population and consumes 75 percent of the the world’s prescription drugs.
  • In 2010, enough prescription painkillers were prescribed to medicate every American adult every 4 hours a day for 1 month.
  • The number of prescription medicine abusers in 2010 was 8.76 million.  The most abused prescription drugs are painkillers, tranquilizers, and stimulants.
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