{"id":21429,"date":"2023-10-16T17:11:42","date_gmt":"2023-10-16T14:11:42","guid":{"rendered":"https:\/\/clinicagatas.com\/?p=21429"},"modified":"2023-10-16T17:11:42","modified_gmt":"2023-10-16T14:11:42","slug":"kas-gali-padeti-numalsinti-nugaros-skausma","status":"publish","type":"post","link":"https:\/\/clinicagatas.com\/en\/kas-gali-padeti-numalsinti-nugaros-skausma\/","title":{"rendered":"What Can Help Relieve Back Pain?"},"content":{"rendered":"

Chronic pain is a widespread health issue \u2013 nearly one in five people around the world suffer from it. How can chronic pain be managed, and what exactly do pain specialists do? Anesthesiologist and pain specialist Dr. Asta Ma\u017eeikait\u0117<\/a> shares her insights.<\/h2>\n
\"\"

Founder of \"Clinic Agatas,\" pain specialist, anesthesiologist-resuscitator Dr. Asta Ma\u017eeikait\u0117.<\/span><\/p><\/div>\n

The Longer Pain Lasts, the Harder It Is to Manage<\/h3>\n

According to Dr. Ma\u017eeikait\u0117, 90% of people over 40 have experienced some form of pain. In the past, patients were generally older, over 60. But today, due to lifestyle and the pace of life, younger patients are becoming more common.<\/p>\n

\u201cYounger patients take care of their health sooner, understanding that movement is essential. Instead of reaching for medication when they feel back pain, they understand they need physical therapy, regular walking, ergonomic work habits, and to change their posture every two hours,\" Dr. Ma\u017eeikait\u0117 explains.<\/p>\n

However, people over 60 are often accustomed to working hard without focusing on their health, and many in our generation do the same. Younger people tend to look at health differently, though Dr. Ma\u017eeikait\u0117 notes that they sometimes overdo it.<\/p>\n

Acute pain is generally easier to control quickly, while chronic pain, the longer it lasts, presents more significant challenges.<\/p>\n

\u201cThe sooner we help young people with, for example, spinal herniation, the faster they can return to life, which saves costs on sick leave and helps them reintegrate into family life. Young men, if unable to work, are more prone to depression,\u201d she adds.<\/p>\n

Chronic pain patients often experience depression due to the exhausting nature of constant pain. Pain management usually involves a multidisciplinary team, which combines several specialists.<\/p>\n

Doctors Perform \u201cPain Blocks\u201d<\/h3>\n

Evaluating a patient's pain sometimes requires several appointments. Patients fill out questionnaires and speak with their doctors. Sometimes, the pain is psychosomatic, stemming from psychological issues.<\/p>\n

\u201cFor instance, when children bring their elderly parents back from abroad and take them to multiple clinics, it can create confusion. This scenario often activates psychosomatic symptoms. Children try to get their parents seen by every specialist in a short time, which can overwhelm them. It\u2019s even more telling when parents behave differently in their children\u2019s presence than when they attend alone,\u201d Dr. Ma\u017eeikait\u0117 says, emphasizing the need for multiple consultations.<\/p>\n

Pain management includes both medical treatment and invasive methods if medication alone is insufficient. These treatments, commonly known as \u201cpain blocks,\u201d are performed by doctors.<\/p>\n

Although not yet widely used in Lithuania, cold therapy and radiofrequency therapy are slowly gaining traction. Cold therapy freezes nerves to reduce pain, while radiofrequency treatments help patients experience less pain. Dr. Ma\u017eeikait\u0117 shares that, starting this year, surgeons in Vilnius and Kaunas can implant spinal stimulators for patients who continue to feel pain despite spinal surgery.\"\"<\/p>\n

Surgery Doesn\u2019t Always End the Pain<\/h3>\n

\"Everyone thinks that surgery will end their pain, but that\u2019s not always the case. After surgery, patients often need physical therapy and, in some cases, a pain specialist,\u201d Dr. Ma\u017eeikait\u0117 explains.<\/p>\n

Before surgery, it is often recommended that patients visit a pain specialist, as many can find relief without surgical intervention.<\/p>\n

\u201cI\u2019m very proud of our neurosurgeons who don\u2019t rush into surgery, instead advising patients to work with pain specialists and physiotherapists first. If they still need help afterward, they can return. This approach is commendable because many opt for surgery first, performing extensive procedures, only to refer patients to pain specialists when results are unsatisfactory. That leaves us with a more challenging case,\u201d Dr. Ma\u017eeikait\u0117 says.<\/p>\n

However, some cases do require surgery, she notes.<\/p>\n

If pain persists for more than three months, it is considered chronic. In such cases, the first step is always to consult a family doctor, who can assess the patient and refer them to a pain specialist if necessary. The sooner invasive treatments are applied, the faster the patient can return to daily life.<\/p>\n

\u201cThis approach saves time and resources because it eliminates the need for prolonged sick leave. Currently, patients are granted sick leave for three months, only to return to doctors who are unsure of the next steps and then send them to pain specialists. For us, determining the best approach may also take months. Sometimes, just one or two visits suffice, but other times, more intensive work with the patient is necessary,\u201d she adds.<\/p>\n

Dr. Ma\u017eeikait\u0117 notes that some doctors are reluctant to refer patients to pain specialists or may even discourage them.<\/p>\n

\u201cThey\u2019ll ask the patient, \u2018What are they going to do for you there?\u2019 If they\u2019re not sure of our role, it\u2019s better not to say anything. We help 85% of our patients, and for the remaining cases, we still aim to reduce pain. If a patient has severe spinal stenosis with multiple degenerative changes and expects complete relief, that\u2019s unrealistic. But our goal is to reduce pain to a level where the patient can take care of themselves and avoid medication,\u201d Dr. Ma\u017eeikait\u0117 explains.<\/p>\n

Acute pain can have many causes. Dr. Ma\u017eeikait\u0117 mentions trigeminal neuralgia, postherpetic neuralgia, and neurological diseases as common examples. Any acute pain can transition into chronic pain, most often related to spinal issues.<\/p>\n

\u201cChronic pain often stems from acute pain causes that weren\u2019t addressed in time. Once the spine is compromised, it\u2019s a lifelong concern. Organs like the heart and kidneys can be transplanted, but there\u2019s no replacing the spine. Damage remains lifelong, but it\u2019s possible to learn to manage and care for it,\u201d she says.<\/p>\n

In the future, she sees occupational therapists joining the pain management team. In other countries, chronic pain specialists visit patients\u2019 homes, observing and recording their movements to teach safer daily practices. Even simple actions like bending down to open a drawer can be done safely with guidance.<\/p>\n

\u201cFor elderly patients, it\u2019s worth considering whether they need to rake leaves or tend gardens. If so, they should use tools with longer handles. If carrying water, avoid heavy buckets,\u201d Dr. Ma\u017eeikait\u0117<\/a> advises.<\/p>\n

According to Dr. Ma\u017eeikait\u0117, chronic pain patients often require psychological support, even if they deny it.<\/p>\n

A Patient's Success Story<\/h3>\n

Dr. Ma\u017eeikait\u0117 recalls a particularly patient individual whose story illustrates the impact of consistent effort.<\/p>\n

\u201cIt was December 27, 4-5 years ago, when two daughters brought their 80-year-old father to me, pleading for a consultation. They said, \u2018Doctor, we buried our mother a month ago, and we can\u2019t lose our father too.\u2019 He could not walk at all and had severe spinal stenosis with no surgical options left. I applied pain blocks, and both a psychologist and a physical therapist worked with him twice a week.<\/p>\n

By summer, this gentleman came to visit us with tomatoes he had grown, walking on his own without crutches. He worked hard and wanted to help himself. Patients shouldn\u2019t expect miracles from doctors. We provide 20% of the help, but 80% of the effort must come from the patient,\u201d she concludes<\/p>\n

You can register with Clinic Agatas pain specialists here.<\/a><\/p>\n

 <\/p>","protected":false},"excerpt":{"rendered":"

Nustatyta, kad beveik kas penkt\u0105 planetos gyventoj\u0105 kamuoja l\u0117tiniai skausmai. Kas gali pad\u0117ti \u012fveikti l\u0117tin\u012f skausm\u0105 ir k\u0105 daro skausmo gydytojai \u2013 apie tai pasakojo gydytoja anesteziolog\u0117, skausmo specialist\u0117 Asta Ma\u017eeikaite. Kuo ilgiau t\u0119siasi skausmas, tuo sunkiau j\u012f gydyti Pasak gydytojos, 90 proc. 40 met\u0173 am\u017eiaus \u017emoni\u0173 yra patyr\u0119 ka\u017ekokius skausmus. Visgi seniau pacientai b\u016bdavo […]<\/p>\n","protected":false},"author":10,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-21429","post","type-post","status-publish","format-standard","hentry","category-uncategorized-lt"],"acf":[],"yoast_head":"\nKas gali pad\u0117ti numal\u0161inti nugaros skausm\u0105? | clinicagatas.com<\/title>\n<meta name=\"description\" content=\"Skausmo specialist\u0117 Asta Ma\u017eeikait\u0117 dalinasi patarimais kas gali numal\u0161inti l\u0117tin\u012f skausm\u0105 ir k\u0105 daro skausmo specialistai\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/clinicagatas.com\/en\/kas-gali-padeti-numalsinti-nugaros-skausma\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Kas gali pad\u0117ti numal\u0161inti nugaros skausm\u0105? 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