February 7, 2023

Types of Chronic Pain, Treatment, Hyperalgesia, and more. The concepts of hyperalgesia and paradoxical hyperalgesia are introduced, as well as some ideas on WHY there is suddenly an effort to portray abuse of opiates as an epidemic. In two separate, good studies, from one to two percent of individuals develop a problem with opiate addiction. The latter study involved 14,000 Veterans from Military Service in the USA. They had not taken opiates before, and were administered them for pain management in a controlled setting, over three months. A whopping NINETY EIGHT PERCENT developed NO ADDICTION. In a previous study, in a well designed study, NINETY NINE PERCENT developed NO ADDICTION. To generate public policy, depriving the vast majority of people from perhaps the best pain management option, as the DPS, FDA, DEA are doing, is wrong, hurtful, and legislates to a tiny majority by thrusting pain and suffering on the vast majority of pain patients.

Hello it’s dr. john roman becker dc and i wanted to kind of expand on some topics that i’ve covered earlier one is about pain pain is a thing that we all kind of go through from time to time most of us do and it can be range all the way from a mere annoyance to something that really makes your life unbearable it controls what you do now there’s a lot of different

Information on the internet and i took an article that i found on about.com which is aside that a lot of people use in addition to webmd and some other sites to get their information from and i want to count talk about their article and also kind of make some corrections to the articles you even though it announces that its reviewed by a board certified physician

Still it wasn’t perfect in my opinion you’ll see wine i wanted to start out with the notion of pain itself what it is and how how we interpret it basically pain is perceived in our brains our brains basically tell us what we have pain and that’s usually mediated through nerves nerves or specialized form of soft tissue there’s two basic kinds or sensory nerves and

Motor nerves sensory nerves obviously are the ones that affect motion in the body enable you for example to squeeze your fist but if you squeeze your fist too hard your females dig into your hand the sensory nerves go back your brand go man you need to back off that’s hurting so that’s kind of like a quick quick course on the two types of nerves and their courses

The central nervous system with the brain spinal cord and the peripheral nervous system and the nerves that are supplied to the periphery or the outlying districts if you want to you in terms of city now one term that’s used in sometimes in men but more more often in the layman speech is this notion of quote/unquote nerve pain for example you might hear people

Say that drugs like gabapentin neurontin that’s used for nerve pain as opposed to what other kind of pain because all pain is really mediated through the nerves whether it’s paying that’s from sitting too long or whether it’s pain from sticking a needle in your finger it’s all going through the nervous system that’s how i guess the brain that lets you know i’m

Hurting so anyway the proper term for quote unquote nerve pain should be neuropathic pain meaning that the nerve has a pathology that it’s either damaged or injured or nerve itself is not functioning right which is going to give rise to the sensation of pain as opposed to a crushing injury to the well that support exhibit as opposed to sticking the needle in your

Finger feeling pain and the the nerves working right it’s not really damaged that much but the surrounding tissue has caused a cascade of biochemical events that result in you feeling pain i hope i had lost anybody this about com article is called chronic it’s under the chronic pain heading and it says six main types of chronic pain now they’re giving you the idea

They’re going to give you six different types of pain and yet they their lump they’re given the first one is a certain type of pay and then lumping a couple more under that which kind of is confusing you’ll see what i mean first it’s nociceptive pain no sigh means kind of irritating or problematic feeling inceptive is the perception of the awareness of and they’re

Calling nociceptive pain is pain that’s detected and body soft tissues skin muscles or organs by specialized censoring ours noticed acceptors nociceptors detect painful stimuli sitting information the spinal cord and brain for the interpretation response and they give 4 examples of nociceptive pain which includes headaches pelvic pain arthritis and fibromyalgia

Now fibromyalgia is one of those terms that i’ve done some videos about it where it’s kind of in limbo as far as some doctors kind of cuckoo the notion but myalgia means muscle pain iowa’s muscle i’ll just pay fibro is fibrotic deposits or fibrous sheath or whatever so it’s the combination the fiber sheep in the muscle that you’re having pain in and often it’s

Seen as kind of ill-defined type of pain as opposed to burning your finger and going exactly where it hurts six times on the second time they have somatic pain but they say that somebody pain is a type of nociceptive pain so there’s we’re about one of my problems with this article is is they say they call it no septic pain in the second type is is a somatic pain

But that’s just a form of no specifics so no septic but anyway i say somatic pain refers to pain detected by sensory nerves and the muscles skin soft tissues and for the record skin and muscles are both soft tissues so the wording the muscles skin and soft tissues would lead you to think that soft tissues is different than muscles and skin which is not and they

Give what they say are four types of this somatic pain being headaches tension headache specifically pelvic pain from joy instability arthritis again and back pain not caused by nerves and i think that’s really confusing because not caused by nerves what you know what their meaning to say is that back pain where there is no damage to the nerves that the nerves

Are structurally and functionally working right but they’re relaying information that the tissues are causing pain but they they did a poor job and making me understand what that means visceral pain again they’re saying is a form of nociceptive pain so why they got it call it six different types of pain when you basically just got subsets in the first category

And they’re saying to visit visceral pain and this one usually means gut like you have a visceral feeling gut feeling visceral pain reverse painted taken by nociceptors in the body’s internal organs like somatic pain visceral pain detected by sensory nerves a spin to the spinal cord yada yada all pain is going to be pretty much sent through to the spinal cord to

The brain so it’s kind of kind of confusing and their their listing endometriosis irritable bowel syndrome bladder pain such as cystitis which is bladder information and prostate thing so again that’s what they’re calling visceral pain is prostate pain endometriosis here bowel syndrome and cysts at us and then they’ve got neuropathic pain and again neuropathic

Pain is really the right term for what a lot of people call nerve pain shouldn’t be calling our pain because it should be called nerve pathology and neuropathic pain because it’s actually pain generated by this being something wrong with a nerve for example you could have diabetic neuropathy would be a nerve paint up paint our neuropathic pain and they’re listing

Things like peripheral neuropathy also called diabetic neuropathy i just said that phantom limb pain post-mastectomy pain and sciatica and just you know for the record chronic pain and their callings types of chronic pain chronic pain really is paying that’s been there for over six months there’s a cute pain and chronic pain they sometimes break the pain down

Into non-malignant pain meaning pain that’s not caused by cancer because cancer related pain is a whole different topic but i mean the way they’ve got this broken-down i feel is kind of odd and i think it misleads use some respects and then we have psychogenic pain and they’re saying psychogenic pains the term for pain caused by a psychological disorders such

As depression or anxiety many psychological disorders have physical complications such as muscle aches pains fatigue because psychogenic pain doesn’t usually have the most physical origin it’s more difficult to treatment treat sack a’junk pain is real it may require different treatment approach than other physical types of pain non-pharmaceutical pain treatments

Come by with any presence there talk about treatment methods will be like tens transcutaneous or neural stimulation distraction get your mind off things relaxation and counseling and again psychogenic means pain coming from the mind but then they say that depression can be to me it’s it’s really kind of odd to call it pain it’s more psychological dysfunction but

I mean can be perceived as mental anguish may be the last one they want to use is empathic pain and basically idiopathic means we don’t yell cause excuse my language it’s pain exists when there is no known physical or psychological cause they don’t know the reason it’s it’s it makes it sound like that there’s no real cause but that’s not true any patent it means

The pains are you just don’t know what’s causing it any pathak pain cannot be traced back to a nociceptive neuropathic or psychogenic cause well the pain may not be detectable with current medical knowledge is very real they’re saying that it’s more common in people with a preexisting pain disorder those disorders include tmj temporomandibular joint disorder jaw

Joint problems and again in fibromyalgia pain is a difficult thing to deal with for a lot of people people respond to pain both culturally and individually different manners the native americans for example were often very stoic to pain in fact it was kind of like for a man showing how tough you were was to be able to withstand lasa pain and there are certain

Cultures cultural differences twin males and females sometimes guys think what it’s okay for a woman to complain a lot about her pain but guys should you know buck up and not really complain about pain another issue with pain is that in my previous video i talked about the pressure by some groups especially law enforcement in texas and other states to get rid of a

Hydrocodone opiates as a treatment method and which is forcing a lot of doctors especially pain management doctors to go to these gabba you have a patent lyrica and neurontin problem there plural vatican in some respects in that they were really in iran really i think originally targeted you’re up neuropathic type pain and how to code on really i think is a better

Choice i’m not not a person that prescribes medications but from my own patients that i’ve seen using neurontin and lyrica hydrocodone tramadol you name it that how to code on for fairly significant back pain from disc problems etc is a better choice it’s cheaper has less serious side effects and but the addition is something you have to deal with but like i said on

The previous videos that studies continually come up with the same results that in a properly managed situation which you know you’re assuming a physician doctor patient relationship should be that with prescriptions given monitored appropriately there’s really not a serious problem addiction one study found less than one percent the edlund some liver zealand study

Found two around two percent of 15,000 veterans who hadn’t taken opiates before of after three months developed problem with addiction and i think the addiction issue is more they were talk about psychogenic pain that it’s more psychological addition addiction sometimes than it is a physical addiction but that’s debatable now another issue that i want to get to in

This video is that chronic pain and for the records kindness last more than six months has a strong depression component to it and we know that when people are depressed a lot of times they feel pain more intensely that if you’re up and happy and running around sometimes for the same level of pain in your body you’re not going to feel that as much as if you’re

Sitting around moping low is made the world’s just no place for me to live in things are horrible and they’re getting worse and pain is going to be perceived because that’s important in dealing with pain and pain management is the perception of pain is that pain is perceived to be more intense more disabling and there’s also a condition called hyper algae or

Paradoxical hyper elgyn where algae zia where people that have been on for example opiates long term sometimes start to find a certain not receptive event the pain causing stimuli that used to wouldn’t cause them to hurt that bad but now there are even more sensitive to that pain in in essence it hurts more now it doesn’t happen everyone but they’re finding that

Even in animal studies this hasn’t really been found in human studies yet but it has been in animal studies that even in ultra low doses with things like tramadol you can develop this paradoxical hopper at algea in other words becoming very easily stimulated to being in a great pain from what might been in the past a fairly easily tolerated noxious event painful

Vin so that complicates management pain is this notion whether or not with if someone goes into a tolerant state and they’re taking more powder coat on for example to get the same effect because of their now tolerating it so the stair step of fact it has to get up higher to get the same effect whether or not they’re going to sleep in sleeping fall into the hyper

Analgesia or hyperalgesia state where it takes you’re taking more pain meds but now it’s not really taking care of the pain and you’re more sensitive so there’s my rant i really kind of haven’t done a great job on that but i want to kind of introduce some ideas like the paradoxical hyper algae and how a parral gzo and also the notion of what chronic pain is and

Kind of talk about what nerve pain is it’s actually your empathic so thanks for watching have a great day more later

Transcribed from video
Chronic Pain, Hyperalgesia, Opiates, Gabapentin, Pregabalin, Hydrocodone, Oxycodone By DoctorJohn Baker