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The Neural Pathways

The Neural Pathways

While the brain uses different pain signaling pathways depending on the type of damage, there is also redundancy to these pathways. These neural pathways morph and amplify signals in the case of chronic pain and pain caused by conditions affecting nerves themselves, even though the protective function of pain is no longer needed.

Painkillers work by tackling different parts of these pathways. Not every painkiller works for every type of pain.

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Reducing Inflammation

Reducing Inflammation

Corticosteroids like prednisone block the inflammatory cascade early on in the process, which is probably why they are so potent in reducing inflammation.

However, because all the chemicals in the ca...

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78 reads

Cannabinoids

Cannabinoids

Although cannabis has received a lot of attention for its potential medical uses, there isn’t sufficient evidence available to conclude that it can effectively treat pain. Since the use of cannabis is illegal at the federal level in the U.S., high-quality clinical research funded by the federal g...

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60 reads

Matching Pain to Drug

Matching Pain to Drug

While sounding the pain alarm is important for survival, dampening the klaxon when it’s too loud or unhelpful is sometimes necessary.

No existing medication can perfectly treat pain. Matching specific types of pain to drugs that target specific pathways can improve pain relief, but even the...

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55 reads

Side Effects Are There, Of Course

Side Effects Are There, Of Course

Because inflammatory chemicals are involved in other important physiological functions beyond just sounding the pain alarm, medications that block them will have side effects and potential health risks, including irritating the stomach lining and affecting 

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108 reads

Opioids Are Harmful If Taken Long Term

Opioids Are Harmful If Taken Long Term

Although opioids can decrease some types of acute pain, such as after surgery, musculoskeletal injuries like a broken leg or cancer pain, they are often ineffective for neuropathic injuries and chronic pain.

Because the body uses opioid receptors in other organ systems like the gast...

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54 reads

Nerve Injury Medications

Nerve Injury Medications

Nerve injuries, most commonly from arthritis and diabetes, can cause the pain-sensing part of the nervous system to become overactive. These injuries sound the pain alarm even in the absence of tissue damage. The best painkillers in these conditions are those that dampen that alarm.

Antiepi...

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50 reads

The Usual Suspects In Killing Pain

The Usual Suspects In Killing Pain

Nonsteroidal anti-inflammatories like ibuprofen (Advil, Motrin), naproxen (Aleve) and aspirin do this by blocking an enzyme called COX that plays a key role in a biochemical cascade that produces inflammatory chemicals.

Blocking th...

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120 reads

Topical Medications

Topical Medications

Many topical medications target nociceptors, the specialized nerves that detect tissue damage. Local anesthetics, like lidocaine, prevent these nerves from sending electrical signals to the brain.

The protein sensors on the tips of other sensory neurons in the skin are also targets for topi...

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62 reads

Antidepressants and Opiods

Antidepressants and Opiods

Antidepressants, such as duloxetine and nortriptyline, are thought to work by increasing certain neurotransmitters in the spinal cord and brain involved in regulating pain pathways. But they may also alter che...

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58 reads

The Importance Of Pain

The Importance Of Pain

Without the ability to feel pain, life is more dangerous. To avoid injury, pain tells us to use a hammer more gently, wait for the soup to cool or put on gloves in a snowball fight. Those with rare inherited disorders that leave them without the ability to feel pain are unable to protect themselv...

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175 reads

Anti-Inflammatory Painkillers

Anti-Inflammatory Painkillers

A bruise, sprain or broken bone from an injury all lead to tissue inflammation, an immune response that can lead to swelling and redness as the body tries to heal. Specialized nerve cells in the area of the injury called nociceptors sense the inflammatory chemicals the body produces and send pain...

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131 reads

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Neural Pathways:

Neural Pathways:

● Thoughts are a product of brain activities occurring along specific neural pathways.

● These pathways involve the activation of interconnected regions in the brain, communicating information through electrical and chemical signals.

● Different pathways are responsible for various co...

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