Pain Forum

No pains no gains, they taught us in our schools. Not today, when pain acts like a speed breaker. It breaks the jet-set speed at which most of us are chasing our days. Except those occasions when pain is a warning sign for something serious brewing in our bodies, pain is a signal to grab some rest. Since rest is a scarce commodity these days, it comes at a premium­workdays lost, unfinished deadlines, unrealised social obligations, reaching for an analgesic is a cheaper, viable option. However, this habit of washing down analgesic every time pain makes its unwanted appearance does not gel well with our system.

Analgesic Unlimited

An analgesic is any member of the diverse group of drugs used to relieve pain. Analgesic drugs act in various ways on the peripheral and central nervous system. They include­Paracetamol (acetaminophen) - The exact mechanism of action of paracetamol is uncertain. Though it is safe, overdosing on it can certainly damage the liver. Acetaminophen changes into metabolites for elimination from the body. Overdosing on acetaminophen produces an overdose of toxic metabolites that our body cannot eliminate.

Non Steroidal Anti Inflammatory Drugs (NSAlDs) such as the salicylates - Aspirin and the NSAlDs work by decreasing prostaglandin production. This improves pain and also inflammation. NSAIDs may predispose to peptic ulcers, renal failure, allergic reactions, and hearing loss. They may also increase the risk of hemorrhage by affecting platelet function. The use of certain NSAlDs in children under 16 suffering from viral illness may contribute to Reye's syndrome.

Narcotic drugs such as morphine, and, synthetic drugs with narcotic properties such as tramadol, and various others.

If pain is an occasional visitor Paracetamol under guidelines works well. "Dr. Sunil Marwah, Senior Orthopaedic Surgeon and Traumatologist says, " The maximum abuse of painkiller happens in people suffering from arthritic pain and backaches. Pain is body's cry for help. Painkillers only numb the sensation of pain. They do not offer help."

For earning relief from arthritic pain, he advises-

1. Supplements for repairing joint
2. Exercises to strengthen joint structure.
3. Reduce weight.
4. Change in lifestyle.
5. Painkillers are the last resort to relieve pain.

Dr. Marwah informs of the side effects of painkillers. They can cause stomach ulcer, and adversely affect kidney and liver too.

It's important to talk with your doctor about the potential benefits versus risk.