What is Pain,
pain is an unpleasant sensory an emotional experience caused by actual or potential tissue damage.
Acute pain refers to the tissue injury
chronic pain is persistent refers to disease usually for more than 3 months.
Type of pain:
- Nociceptive: usually somatic, like arthritis, post-surgical, endometrial or IBS
- Neuropathic: peripheral ex: phantom limb
- Mixed: inflammatory
Pain management is commonly done though medication physical therapy, psychological and interventional methods.
Physiology of pain: activation of nociceptors in the skin due to damage, these signals travels up to the spinal cord and cross at the spinal cord to other side then finally to cerebral cortex.
Endogenous mediators will be released with inflammation like prostaglandins, histamine, bradykinin, serotonin, acetylcholine, lactic acid etc.
Multimodal pain management: synaptic transmission and central sensitization the medications like – Anticonvulsants, Opioids, Alpha adrenergic agonists, NMDA blockers like Ketamine, morphine etc
Different medications at the different sites of the neuronal pathways to block the pain stimulation.
Opioid receptors: inhibit the neurons at the dorsal horn and stop the release of Substance P and reduces the pain.
Poor postoperative pain management which leads to the slower recovery times, patient satisfaction, poor rehabilitation participation and outcomes, compromised patient functional outcomes, physical pain and discomfort, psychological distress, increases post-operative complications, and poor sleep hygiene.
Postoperative pain management approaches may include pharmacological, physical and psychological therapies. It’s better to avoid the narcotic medication doses, hence reduced side effects.
Mc Donald’s et al study conducted in New York introduced multimodal pain management among study group and in comparison, with the control group mentioned that by using the multi model pain management protocol and significantly decreased number of IV opioids doses and pain better controlled, and patients are more mobile and quickly.
What Ayurveda can offer:
Ayurveda the pain means “SOOLA”, ayurvedic treatments are affective in the management of the chronic pain. Most of the conventional remedies are not successful in the management of chronic pain, moreover, leads to the dependency and long-term side effects.
In Ayurveda the management of pain is done through herbal combination medicines along with external rejuvenation therapies like shirodhara, kativasti, dhara, potali swedam etc.