Most people who go to a family doctor complaining of pain are prescribed pain-killing drugs rather than exercise. Since finding the cause of backache is not so easy, doctors frequently do not know the precise cause of the discomfort, and as the pain continues, sufferers end up taking stronger doses or a series of different drugs. Its crazy, says Dr. Brasseur, a therapist at the International Association for the Study of Pain. Some of them are taking different drugs prescribed by different doctors. Ive just seen a patient who was taking two drugs which turned out to be the same thing under different names.
A generation of new pain clinics now operates on the basis that drugs are best avoided. Once patients have undergone the initial physical and psychological check up, their medication is cut down as much as possible. Taking patients off drugs also prepares them for physical activity.
In some pain-relief clinics, patients begin the day with muscle contraction and relaxation exercises, followed by an hour on exercise bikes. Later in the day, they practice tai chi (太极), self-defense, and deep thought. This compares with an average of two-and-a-half hours physiotherapy(理疗) a week in a traditional hospital program. The idea is to strengthen and to increase long-lasting energy, flexibility, and confidence, explains Bill Wiles, a consultant pain doctor in Liverpool. Patients undergoing this therapy get back to work and resume healthy active lifestyles much sooner than those subjected to more conservative treatment.
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