Just announced by Eli Lily and Company the U.S. Food and Drug Administration has just granted approval for Cymbalta® for persons to manage musculoskeletal pain. Studies have demonstrated that patients with chronic low back pain and chronic pain from osteoarthritis.
Cymbalata has been demonstrated to notably decrease chronic back pain and the chronic pain linked with osteoarthritis. This new drug is listed as non-narcotic pain reliever and is to be taken once a day, every day for persons with this type of chronic pain.
Dr. Michael Clark, director of Chronic Pain Treatment Program, Department of Psychiatry and Behavioral Sciences, The John Hopkins Medical Institute, states that most persons who endure chronic musculoskeletal pain often find it hard to locate a medication that works for them. With the FDA’s approval this gives patients another option.
How Cymbalta really works is uncertain. The belief is that Cymbalta aides in decreasing pain by heightening the bodies own natural pain suppressing system by heightening activity of serotonin and nonrepinephrine in the brain and spinal cord.
Clinical studies on musculoskeletal pain, the most common observed side effects(occurring in five percent of the studies participants) with chronic low back pain experienced nausea, dry mouth, insomnia, sleeplessness, constipation, dizziness and fatigue. The side effects observed in those taking the medication for osteoarthritis chronic pain were nausea, fatigue and constipation.
Dr. Robert Baker, global development leader at Lilly, manufactures of the drug, states it is important for persons with chronic musculoskeletal pain have different treatment choices available because effects in medications can be individualized.
Osteoarthritis affects 27 million adult Americans and 70 to 80 percent have low back pain at some time with some reports showing two to ten percent continue to endure low back pain.
It has gained approval in the United States in treating major depressive disorder, generalized anxiety disorder, management of diabetic peripheral pain, fibromylagia, and chronic musculoskeletal pain which was shown in studies with patients who have chronic low back pain and pain from osteoarthritis. It is approved for 18 years old and older only.
Notable News Highlights on Pain Medications
Just at the start of this month the University of North Carolina and Duke University noted in their study that practitioners are still prescribing medications for neck and back pain. However, persons receive minute relief from these types of conventional treatments. The long term effect is very bleak.
Treatments such as acupuncture and rehabilitation exercises are hardly mention yet they are most effective in treating chronic pain. All natural and do not give side effects or addiction/reliance issues.
Medication deaths in the United States to an estimated number of 200,000 a year reported in August. These included all medications even over the counter types.
There are long term side effects from these medications which include stomach ulcers, kidney failure, high blood pressure, vomiting and bleeding in the intestines.
Then we have those physicians who are noted in their field such as Dr. Cohen, chief of neurosurgery at Brooklyn Hospital Center in New York who openly remarks that there are options in treatment of chronic back pain by the use of alternative and complimentary therapies.
In July of this year it was noted that over six million Americans develop abuse problems from prescription pain medications.
Persons have choices
Today there are numerous choices available in the treatment of chronic pain. Patients who do not wish to use medications due to side effects or the chance of becoming reliant on these medications to just relieve pain and not treat the cause of the pain have numerous treatments that can be obtained. It is referred to as integrative medicine, complimentary medicine or alternative medicine. It is meant to treat the cause and just not hide the symptoms for a while till you need another pill. These treatments are strong and effective and natural. No one has ever been placed in treatment centers for using things such as acupuncture, supplements or rehabilitation exercises.
Conventional medicine when it comes to chronic pain usually always consists of prescribing pain medications.
Some alternative treatments that have been effective with chronic pain especially in musculoskeletal pain and osteoarthritis pain:
It has been note numerous times that chiropractic care is the treatment option mainly sought when it comes to musculoskeletal pain.
As primary care providers who have received specialized training in musculoskeletal medicine play a duel role on a daily basis. One role is to promote overall wellness and supervise patient enabled preventative healthcare and secondly to alleviate acute and chronic musculoskeletal pain. It is effective in restoring normal muscle function, joints and vascular system and aide in elimination of the root source of the chronic pain.
Numerous therapies are applied including spinal manipulations, trigger point and soft tissue therapy. They are also trained in the use of nutritional supplements, herbs, vitamins, minerals to strengthen the total treatment. They can treat numerous areas of pain including osteoarthritis and fibromylagia.
Acupuncture has been noted as an effective treatment in areas of chronic pain. In 1997, The National Institutes of Health had released in a statement that acupuncture does display clear proof for treating many pain conditions among them chronic back pain and fibromylagia.
The most noted theory on the effectiveness of acupuncture is that it releases endorphins the bodies own natural pain killers which have been demonstrated to be very effective in relieving pain. In studies done on acupuncture it has been noted that pain relief does remain for several weeks before requiring another session.
Massage has been demonstrated to be effective in the management of chronic pain. The therapy uses a hands on approach to the muscles and other soft tissues. In the cases of chronic pain also provides increased energy and sleep improvement.
There are many massage techniques applied to cases of chronic pain. Techniques such as deep tissue massage and trigger point therapy include the ability to release deep knots and muscle spasms that cause chronic pain. Therapeutic massage such as Swedish involves the kneading of the surface muscle tissue does relieve tension and stress however, will not last long term.
Massage treatments need to be done on a regular basis and no noticeable effects could be seen till you have had a few treatments. The massage therapists will inform you of how often it will be needed for the utmost effective relief for chronic pain.
Yoga can provide relief for chronic pain and give a wealth of benefits.
Asana in yoga relieves the pain in many ways. First it reduces stress levels in which contribute to the pain which in turn stops the muscle spasms which occur from the stress. It aides in reducing muscle tightness which is part of chronic back pain. It also aides bringing bones into a better alignment that relieves compression of joints and muscles.
There are more alternative treatments which are available for chronic pain including but not limited to herbal remedies, aromatherapy, touch therapy and biofeedback.Sources:
Medical News Today
Acupuncture and Pain