According to the survey, in the elderly group, the proportion of pain patients is very high, reaching 1/3 to 1/2. There are still many elderly people who still have misunderstandings about "pain", thinking that pain is a part of the disease and does not need special treatment, and it may not be effective after treatment. Enduring silently has become the only way for many elderly people to fight pain.
In fact, it is not a wise move to endure the pain. In clinical practice, most of the pain can be treated, and we need to correctly understand the pain first.
The pain of herpes zoster is not reduced
The first meaningful popular science live broadcast let patients remember "he"
Zoucheng Aunt Li is 70 years old this year and has always been in good health. A month ago, Aunt Li developed a long string of small blisters on her waist, which was extremely painful. She was diagnosed with herpes zoster after medical examination. After a period of treatment, the herpes on Aunt Li's body gradually dissipated, but the symptoms of pain persisted and became more severe. To this end, Aunt Li consulted many local hospitals, but she has not received effective treatment. "My God, this feeling is really worse than death!" The pain erupted dozens of times every day, causing Auntie Li to suffer both physically and mentally.
By chance, the family saw the first popular science live broadcast on the " Lightning News " platform on their mobile phones, which was about the standardized treatment of herpes zoster neuralgia. The invited experts were from the pain department of the Third Provincial Hospital of Shandong Province. Director Zhao Zhitao. Listening to Director Zhao's detailed explanation, Aunt Li's family was determined to go to Jinan to find Director Zhao for medical treatment.
Similarly, 67-year-old Auntie An from Jinan also suffered from herpes zoster two months ago. After standardizing anti-virus, protecting wound surface, preventing infection and to enhance immunity, her herpes on the chest and back quickly recovered, but the pain Symptoms are getting worse. I can't even wear clothes, and the pain is unbearable! I have no choice but to carry the clothes with my hands. Every day is really hard! Fortunately, a friend of Auntie An also paid attention to this issue of the "Lightning News" live broadcast of popular science, and quickly recommended Auntie An to the third provincial hospital to find the director to take a look.
"Etian Sword" that kills pain
Safe and minimally invasive solution to chronic pain
Director of the Pain Department Zhao Zhitao treated two aunts successively, and Director Zhao also patiently explained to them the reason for the pain after herpes zoster healed. As a viral infectious skin disease popular in winter and spring, herpes zoster is mostly accompanied by pain. The older the patient is, the higher the incidence of postherpetic neuralgia after herpes is cured. This kind of pain makes many patients feel unbearable, especially Intractable neuralgia. According to Zhao Zhitao, many conventional treatments are currently ineffective, and the nerve electrical stimulation therapy used by the pain department of the Third Hospital of Shandong Province is vividly known as the "Heavenly Sword" for beheading pain due to its good effect and fast onset. many patients. The situation of these two aunts can be treated in this way.
During the operation, Zhao Zhitao led the team to implant a very thin electrode into the nerve part corresponding to the pain, stimulate the nerve through the weak pulse current , block the conduction of pain nerve stimulation, and achieve the effect of pain relief. At the same time, electrical pulse signals can stimulate the production of inhibitory neurotransmitters in the central nervous system, stimulate the upper spinal pain regulation center, and inhibit the excitability of sympathetic nerve , thereby repairing and regulating damaged sensory nerves.
Both operations were successfully completed in less than an hour. On the night after the operation, the patient reported that the pain was significantly relieved and he could sleep peacefully. After continuous adjustment of stimulation parameters, both patients recovered well and were discharged from the hospital.
In recent years, the Pain Department of the Third Hospital of Shandong Province has actively practiced the construction concept of "painless hospital", constantly learning and introducing cutting-edge medical technology, and has formed a good reputation in the diagnosis and treatment of intractable neuralgia and other pain diseases. At present, the "minimally invasive interventional therapy" used in the pain department has successfully cured hundreds of cases of various types of intractable neuralgia independently, and has also enabled more and more chronic pain patients to regain a higher quality of life.
Electrical Nerve Stimulation is the electrical stimulation of different nerve parts that conduct pain to reduce pain conductionand receive, thereby relieving pain. According to the stimulation site, the electrical stimulation applied in the pain department can be divided into spinal cord electrical stimulation and peripheral nerve electrical stimulation; according to the time course, it can be divided into short-term electrical stimulation and long-term electrical stimulation.
Short-term electrical stimulation is usually used for testing before long-term electrical stimulation or subacute treatment of herpes zoster neuralgia, usually about a week; long-term electrical stimulation is usually used for the treatment of chronic pain, time-course ranging from several years to more than ten years.
Spinal Cord Stimulation (SCS) is the most widely used in the field of electrical nerve stimulation, mainly for the treatment of two types of chronic pain: neuropathic pain and pain caused by ischemic diseases.
Neuropathic pain includes: peripheral nerve injury pain, low back surgery syndrome, chronic postherpetic neuralgia, complex regional pain syndrome, etc.; ischemic diseases include: refractory angina pectoris, peripheral arterial obstructive disease , Raynaud's disease, etc.
Expert introduction:
Zhao Zhitao
Director of Pain Department, chief physician
has long been engaged in clinical research and treatment of clinical anesthesia and chronic pain. Skilled in various acute and chronic pain nerve block therapy, interventional therapy . Various minimally invasive neurointerventional procedures for trigeminal neuralgia, lumbar disc herniation, , cervical disc herniation, post-herpetic neuralgia and intractable cancer pain, lumbar sympathetic treatment for lower extremity neuropathic pain and ischemic disease.
is also the deputy director of the Youth Committee of the Pain Physician Branch of the Shandong Medical Association; a member of the Standing Committee of the Shandong Pain Medicine Association, a member of the Academic Development Group, and the deputy head and secretary of the Cancer Pain Study Group; and a member of the Standing Committee of the Shandong Pain Physician Association. Vice chairman of the Neuropathic Pain Special Committee of Shandong Pain Medicine Association. Published more than ten academic papers.
visit time: all day on Monday, all day on Wednesday
Xiao Keqing
Chief Physician of Pain Department
has been engaged in anesthesia and pain diagnosis and treatment for more than 30 years, and is proficient in applying various pain minimally invasive interventional techniques to treat trigeminal neuralgia and post-herpetic neuralgia and other pathological neuralgia; various headaches, cervical and lumbar disc herniation, soft tissue pain such as neck, shoulder, waist and leg pain, and limb and joint pain such as shoulder, knee, ankle, elbow, etc.; advanced cancer pain, dizziness, primary insomnia, skin diseases and other non-painful diseases. Proficient in the use of new blue oxygen technology for the treatment of intractable and refractory diseases such as painful diseases, cardiovascular and cerebrovascular diseases, diabetic foot diseases and sub-health.
is also a member of the Pain Special Committee of Chinese Integrative Medicine, the executive director of the Pain Special Committee of the Chinese National Medical Association, a member of the Head and Facial Pain Special Committee of the Pain Branch of the Shandong Medical Association, and a member of the Standing Committee of the Cranial Neurosurgery Special Committee of the Shandong Pain Medicine Association, Shandong Member of the Standing Committee of the Special Committee of Integrated Tumor Treatment of the Provincial Pain Medicine Association, member of the Standing Committee of the Special Committee of the Muscles, Veins, Bones and Joints of the Shandong Provincial Pain Medicine Association, member of the Standing Committee of the Special Committee of the Spine Minimally Invasion of the Shandong Provincial Pain Medicine Association, and the director of the Shandong Provincial Geriatrics Association. The first author has published more than ten national and provincial dual-core scientific journals and SCI articles. Editor-in-chief and co-editing of two monographs, participated in a number of scientific research achievements and national patents.
Visiting time: all day on Tuesday, all day on Thursday
Source: Shandong Provincial Third Hospital
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