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Treating Pain Quickly So It Doesn’t Become Chronic – Healing Practice



Rheumatism: Rapid treatment of pain

rheumatism is the collective term for a number of different chronic inflammatory diseases that primarily affect the musculoskeletal system. The common point of all these diseases is that they Pains accompanied. And these must be treated as soon as possible in order to chronification to avoid.

All rheumatological diseases are accompanied by pain. To ensure that these do not become chronic, it is important to treat inflammation and pain quickly and appropriately. The consequence of too late treatment may be that the painful process becomes independent and becomes chronic. This should be avoided with appropriate drug and non-drug measures, says an expert from the German Society for Rheumatology e.V. (DGRh) in a current issue Message.

Pain treatment should be tailored to those affected

As explained in the post, pain is a warning signal of the body, which indicates that our organism is threatened with damage, such as toothache (nociceptive pain).

Whether the pain is perceived as throbbing or throbbing may vary from person to person different be. Because there is no “pain” or “miracle pill” that works for all pain conditions.

Therefore, there is still a need for individual pain therapy tailored to the needs of each patient. The expert also reports this in the trade journal “Current rheumatology“.

“Pain is a complex event and also depends on many individual factors a way. According to previous pain experiences, education, sex, origin, genetic factors and personality of the persons concerned”says Prof. Dr. Medical Georg Pongratz, spokesperson for the Rheumatism and Pain Working Group of the DGRh.

Early start of therapy

The head doctor of the Rheumatological Rehabilitation Center Asklepios Bad Abbach is a expert for inflammatory rheumatic diseases that can occur in many parts of the body

It is mainly based on a rapid start of treatment with appropriate medication, but also non-drug measures such as physiotherapy in the early phase of symptoms. These could quickly remove the rheumatic inflammation and thus also the pain before a “pain memory” develops.

This may change, regardless of the original pain problemmanifesting as chronic pain elsewhere or even spreading throughout the body (“generalized pain”).

Prevent pain from becoming independent

“It is therefore of great importance that a independence prevent the onset of pain as early as possible with suitable drugs and non-drug measures and exhaust all available resources”according to Professor Dr. Pongratz.

This means that in case of acute nociceptive pain caused by inflammation underlying disease consistently treated and anti-inflammatory and analgesic preparations such as nonsteroidal anti-inflammatory drugs (NSAIDs) are used, which are simultaneously effective against inflammation and pain.

These remedies help in many inflammatory rheumatic diseases, but also in osteoarthritis. If these drugs do not have the desired effect or should be contraindicated, stay Alternatives to painkillers such as paracetamol, metamizol or opioids as well as injections of glucocorticoids or local anesthetics.

If the pain is already chronic, pain relievers such as antidepressants, antiepileptics and tricyclics as well as muscle relaxantsmild opioids or, in the case of neuropathic pain, cannabinoids are also used.

Interdisciplinary cooperation necessary

‘Cause all these drugs too Side effects may also have preparations for local application to the skin, for example, consistent therapy with a gel containing NSAIDs for arthritis of the wrist.

According to the expert, active ingredients such as capsaicin from cayenne pepper, a local anesthetic like lidocaine or a neurotoxin like botulinum toxin (Botox) have a soothing effect muscle contractions and pain.

“However”according to Pongratz, “is one for chronic pain interdisciplinary collaboration with a team of pain therapists, physical therapists, psychologists, occupational therapists, social services and patient education needed to break pain autonomy in a multimodal approach. (ad)

Author and source information

This text corresponds to the requirements of the specialized medical literature, medical guidelines and current studies and has been verified by health professionals.


  • German Rheumatology Society eV: Treat rheumatic pain as early as possible – avoid chronification, (accessed: 05.10.2022), German Society of Rheumatology eV
  • Georg Pongratz: Special pain therapy for rheumatic diseases; in: Current Rheumatology, (published on: 14.10.2020), Current rheumatology

Important Note:
This article contains general advice only and should not be used for self-diagnosis or treatment. It cannot substitute a visit to the doctor.

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