have to stop taking pain medication altogether before you can treat them never. patients never have to stop any medication before they come to us because we often at the same time we often used the type of treatment. and sometimes we decide together with the patient that it s wise to decrease the previous pharmacological treatment to go down with a dose to replace it by a better type of treatment which can be another drug which can be a kind of psychological treatment so patients don t have to worry that if they come to you with it you take something away from them they never have to very they never have to vary and see you. as a g.p.m. equated to 2 kinds of patients one which i m quite hypochondriac if something s painful they just come to me and say i want to have some pain medication and on the other hand there are some patients who are really in pain they don t want to take anything so how do they decide when to see dr i think. patients go to
a doctor if the things they will go to a doctor from my side as a physician not as a patient i would say i would recommend if the pain is so such a big impact on my daily life and the impact can be problems with sleeping with walking with happiness then i should try to visit the doctor because it s always good 1st to try to solve my problems by myself but if it s not working i should think about talk with somebody who is professional and you as a professional can you always heal pain no i cannot what i can or what i like to do is i like to listen to my patients have. their problems do it really because a lot of this job and. but the and patients normally are very happy if we really talk about it if they have the feeling i understand them and most of the times we can help somehow by the complete complete turk was there our pain is not realistic
a bad thing in and off itself because it wants you with it something wrong is going on inside your body but there s a problem when the pain gets chronic like an austere freitas in migraines and then you have to see a pain doctor like dr. here at the francisco s hospital in berlin and he s the head of the pain clinic. what s patients with severe chronic pain really need is a companion a professional companion who is helping them to fight the pain and to have a goal for the future. well i think we all have some pain medication at home and this is a case because if you ve got a serious to say headache it s ok to take a pill but beware. and the danger is in some pain medications have serious side
of these over the counter painkillers can cause kidney damage liver damage which in some cases then requires organ transplants and you can have stomach bleeding that agents are also more at risk of having a stroke especially patients who already had a heart attack so they should be very cautious about these drugs. is also a patient a pain clinic she has multiple sclerosis and has had severe back pain for years several operations didn t help. you re always looking around for something to relieve the pain so of course i took over the counter drugs my experience was that they didn t help. but the side effects were terrible. my stomachs in terrible shape i often have no appetite and have to throw up. because the side
since she was a child. over time they got worse. she s learned to identify what kind of headache is coming on. now she can put into words the type of pain that she s experiencing as. tension headaches all involved pressure not a hammering or anything like that more of a pressure as if you were wearing something tight wrapped around your head. and migraines come either from the right or the left and that s a kind of throbbing or hammering in your head. when i had my. eyes to see you. these days she s managed to get the migraines under control thanks to a category of drugs called triptans. every 3 months she s given a low dosage injection of the neurotoxin botox.