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Opioid-Induced Hyperalgesia: When Pain Medications Make Pain Worse

Opioids are widely used, and strong medications used to manage pain, especially in cases of severe or chronic pain. However, these drugs come with a range of side effects, and one of the more perplexing and troubling phenomena is called opioid-induced hyperalgesia (OIH).

This condition describes a paradoxical response where long-term opioid use can actually increase sensitivity to pain, leading to a worsened pain state rather than pain reduction, for which it was intended.

In this blog, we'll explore what opioid-induced hyperalgesia is, who is at risk, and how it can be managed effectively.

❔ Is a Pain Specialist the Right Choice for Managing Your Chronic Pain?

Dealing with relentless, chronic pain can be disheartening, especially when it feels like no one has the right solution or someone suggests you simply have to live with it.

You might find yourself asking: "Is this really my life now? This pain is draining me. Nerve pain is unbearable. Shouldn't there be more modern solutions to manage my pain?"

The good news is, yes, there are ways to manage pain effectively, even if you haven't found the right approach yet. It could be that you need to look in new places or that your healthcare providers haven't pointed you in the right direction yet.

Understanding Percutaneous Electrical Nerve Stimulation (PENS) for Chronic Neuropathic Pain

Patients with chronic intractable neuropathic pain often struggle to find relief from conventional treatments like medication therapy or exercise. Fortunately, advancements in neuromodulation technologies offer new treatment options.

Neuromodulation involves delivering electrical currents to nerve fibres responsible for pain, directly impacting the source of the neurological issue. While spinal cord stimulation has been widely used for patients with chronic pain in the trunk and limbs, recent developments in direct peripheral nerve stimulation show promising results for chronic neuropathic pain.

You might ask what a ‘peripheral nerve’ is. The peripheral nervous system is a network of nerves that runs throughout the head, neck, and body. It carries messages to and from the central nervous system (the brain and spinal cord).

One option for treating chronic neuropathic pain is Percutaneous Electrical Nerve Stimulation (PENS) of the peripheral nervous system.

💡Is it time to update your pain treatment plan?

💡Is it time to update your pain treatment plan?

In the world of pain management, treatments are changing all the time, hence updating your treatment plan or seeking a second medical opinion can be a pivotal step towards refining and optimising your treatment pathway. Everyone’s experience with pain is unique, and different specialists may offer diverse perspectives and insights.  

 

A second opinion, especially from an experienced pain specialist, brings fresh expertise and alternative viewpoints, ensuring a comprehensive evaluation of your condition. This process can unveil new treatment options, innovative approaches, or adjustments to existing plans, ultimately enhancing the precision and effectiveness of your pain management strategy. Additionally, it empowers patients with a sense of confidence and control over their healthcare decisions. Collaborating with multiple specialists fosters a more personalised and patient-centric approach, ensuring that your treatment pathway aligns seamlessly with your specific needs and aspirations for improved well-being.