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Food and Drug Administration. In most cases, back pain is caused by minor sprains or injuries. These injuries can be incurred by bending or twisting awkwardly, lifting heavy objects, over-stretching, slouching or hunching, and overusing muscles.

Some cases of back pain can be the result of a more serious medical condition, such as sciatica, arthritis or a slipped or prolapsed disc. On rare occasions, back pain can be the sign of something more serious, such as a spinal fracture or cancer. Headache — headaches can be divided into two categories; primary and secondary.

Primary headaches are, in most cases, caused by a dysfunction or an over activity in the pain- sensitive structures in the head. Examples of primary headaches include; migraine, tension headache and cluster headaches. Secondary headaches are a symptom of another condition that stimulates the pain-sensitive nerves in the head.

An example of a secondary headache is an alcohol-induced hangover. Joint pain — is the result of damage to the joints, either through disease or injury. A variety of conditions can lead to joint pain, including; osteoarthritis, rheumatoid arthritis, gout, bursitis, sprains, strains and other injuries. Period pain — is the result of muscular contractions of the womb.

These contractions constantly pass through the womb, however, they are usually so mild that they pass unnoticed. During menstruation, these contractions can become more vigorous. This is to encourage the wombs lining to shed away as part of the monthly cycle. These more intense contractions can compress the blood vessels in the womb, temporarily cutting off the blood supply.

Without blood, the tissues in the womb become deprived of oxygen, which causes them to release chemicals that trigger pain in the body. Muscular pain — also known as myalgia, is often the result of too much stress, tension, or physical activity. However, in some cases, myalgia can be related to a medical condition, such as; viral or bacterial infections, fibromyalgia, thyroid problems, hypokalaemia low potassium , autoimmune disorders, and certain medicines, such as ACE inhibitors.

Dental pain — toothache is usually the result of the tooth's innermost layer becoming inflamed. This layer is known as the dental pulp and is made up of sensitive nerves and blood vessels. The dental pulp can become inflamed as a result of; tooth decay, receding gums, a cracked tooth, loose or broken fillings, and a periapical abscess. Other conditions that can cause dental pain, without the dental pulp being affected, include; sore and swollen gums, sinusitis, ulcers, periodontal abscess, and injury to the temporomandibular joint, which connects the jaw to the skull.

Babies can always experience dental pain when their teeth begin to develop. This is called teething. The goals of a comprehensive pain assessment are to: Gain a full description of the pain. Assess whether the description fits any well-known pain syndrome. Determine whether the pain is the result of a structural disease if the body.

Attempt to determine the mechanism perpetuating the pain. For example, tissue damage, nerve injury or psychological processes that may be maintaining the pain. Obtain a full description of the negative effects on the sufferers physical and psychological functioning caused by the pain. Determine whether any medical or psychiatric problems coexist with the pain and whether these will require simultaneous treatment.

Opioid Analgesics If suffering from a mild headache or a muscle strain, an over-the-counter pain reliever will usually be enough to ease the pain. Examples of opioid analgesics include: Codeine Fentanyl Hydrocodone Hydromorphone Morphine Methadone Oxycodone Meperidine Non-opioid Analgesics Non-opioid analgesics are generally used to treat mild to moderate pain.

Paracetamol Paracetamol is classed as a mild analgesic. Paracetamol is produced by multiple manufacturers in a wide variety of forms, including: Tablets or caplets Capsules Effervescent tablets Liquids Sachets Suppositories Injections Unlike other pain-relief medication, paracetamol is considered safe to take during pregnancy and breastfeeding.

If you are not sure whether paracetamol is safe for you, check with your doctor or pharmacist first — especially if: You suffer from any form of liver or kidney problem. You have issues with alcohol, such as long-term misuse. You are classed as very underweight. You have had an allergic reaction to paracetamol in the past. You are taking other medications, which could potentially interact with paracetamol Side-effects associated with paracetamol are quite rare but can include: An allergic reaction, which can lead to rashes or swellings.

Low blood pressure, flushing and a fast heart rate. This side-effect usually only happens when paracetamol is administered intravenously in a hospital. Liver and kidney damage. Blood disorders, such as Thrombocytopenia and Leukopenia. Nonsteroidal anti-inflammatory drugs NSAIDs These medicines can be obtained over-the-counter or as a prescription medicine, depending on the strength and dosage.

Examples of pain relief treatments containing ibuprofen include: Ibuprofen generic — this is available as tablets, caplets, gel, and liquids. Nurofen — probably the most recognised brand of Ibuprofen in The UK. Nurofen is available in a plethora of formulations including; tablets, liquid tablets, caplets, meltlets, liquids, patches, gels and sachets. Cuprofen — available in tablets and gels Ibuleve — available in gels , sprays, and patches Brufen retard prescription only strength Aspirin — belongs to the group of NSAIDs known as Salicylates.

Aspirin that can be bought over-the-counter include: Aspirin generic — available in tablets and soluble tablets. Anadin — available in tablet form Dispirin — available as a soluble tablet and as a fast-tab melts on the tongue. It is recommended to ask your pharmacist or doctor for advice if: You are either pregnant, breastfeeding, or trying to conceive. You are over 65 years of age. You suffer from asthma. You have suffered from a stomach ulcer. You have problems with your heart, kidneys, liver, blood pressure, circulation, or bowels.

You are looking to treat a child under the age of 16 years. The most common side-effects associated with NSAIDs include: Indigestion Stomach aches Diarrhoea Stomach ulcers Headaches Drowsiness Dizziness Allergic reaction Anticonvulsants used to treat chronic pain Anticonvulsants are a group of medicines used to treat seizure disorders, but can, in some cases, be used for pain-relief. Examples of anticonvulsants commonly used as pain relief include: Gabapentin Neurontin Pregabalin Lyrica Carbamazepine Tegretol Lamotrigine Lamictal Phenytoin Valproate Anticonvulsants are only available with a valid prescription.

Antidepressants for chronic pain Antidepressants can also act as an adjuvant analgesics. Examples of antidepressants commonly used as pain relief: Amitriptyline Citalopram Fluoxetine Paroxetine Venlafaxine Nortriptyline Fluvoxamine Duloxetine Antidepressants are only available with a valid prescription.

Nerve Blocks Nerve blocks are typically used to help treat neuropathic pain. Nerve blocks can be used for various purposes, including: Therapeutic nerve blocks — containing a local anaesthetic. These nerve blocks are typically used to relieve acute pain. Diagnostic nerve blocks — these nerve blocks are designed to identify the sources of pain. Prognostic nerve blocks — are used to predict the effectiveness of given treatments.

This type of nerve block is aimed at determining whether more permanent forms of treatment such as surgery would be more effective. Pre-emptive nerve blocks — this form of nerve block is designed to prevent subsequent pain, following a procedure that can cause problems.

Sympathetic nerve block — this type of nerve block is performed to determine whether the sympathetic nerve chain has become damaged.

This chain of nerves extends the full length of the spine and is responsible for controlling some of the bodys involuntary functions, such as blood vessel dilation. Stellate ganglion block — This is a form of sympathetic nerve block that assesses whether there is any damage to the nerve chain that supplies the head, neck, chest and arms, and whether this nerve damage is the source of the of the pain in those areas.

Facet joint block — this is also referred to as a zygapophysial joint block. The facet joints are found on the back of the spine, at the points where the vertebrae overlap. These joints are responsible for guiding and restricting spinal movements.

The facet joint nerve block will help determine whether one of these joints is the source of pain. Transcutaneous Electrical Nerve Stimulation Transcutaneous electrical nerve stimulation TENS is a method of relieving pain by using mild electrical currents. It is important not to use a TENS machine without first seeking medical advice if: Your body contains a metal or an electrical implanted device, such as a pacemaker.

You're pregnant, or could be pregnant. You are epileptic. You suffer from heart problems. Treat any health problems as early as possible. Ensure you get enough sleep every night. Alternate activity and rest throughout the day. Exercise regularly. Eat a balanced diet, rich in fresh fruit and vegetables.

Maintain a healthy weight. Try to keep stress to a minimum. Keeping your back strong and supple will help prevent back pain -ensure you maintain a good posture, exercise regularly and lift correctly.

Avoid dangerous situations that could potentially result in injury. Practice good oral hygiene specifically relating to dental pain. Non-prescription alternatives for the treatment of pain are; Ibuprofen Paracetamol Aspirin Topical Treatments Ibuprofen gel Rest the area If your pain does not ease or becomes severe, contact your GP or Pharmacist for further advice.

Acute pain is usually directly related to soft tissue damage , such as a cut or a strain. It is typically sharp in quality and acts as a warning of disease or injury to the body. As the injured tissue heals, the associated pain should gradually resolve. Acute pain can occur under a wide range of circumstances including:. Acute pain can be mild and brief , or alternatively, it can be severe and last for weeks.

For example, the acute pain experienced from a shallow scratch will be mild and brief compared to the acute pain suffered from a broken bone, which will likely be more severe and long-term.

In most cases, acute pain will not last beyond six months. The most commonly suffered types of pain include:. Pain can be categorised into different groups. The details of each different class of pain is outlined below:. Analgesics are medicines that are designed to relieve the symptoms of pain. Paracetamol is also commonly combined with decongestants in cold and flu remedies.

They work by inhibiting the production of prostaglandins , which is a substance produced by the body when it becomes injured. Prostaglandins amplify the pain signals being sent to the brain , as well as causing the affected tissue to swell.

It is advised to speak to your doctor or pharmacist before taking NSAIDs should any of the following apply:. You suffer any problems with your heart, blood pressure, liver, kidneys or bowels. In these cases, it may not always be necessary to avoid NSAIDs, however, they should only be taken on the advice from a qualified healthcare professional.