Can hot compress be used during the remission period of chronic pain? What medicine should women use?

In most cases, hot compresses can be used during the remission period of chronic pain. There is no unified standard for the medication for chronic pain in women. It must be selected individually based on the cause and type of pain. It cannot be solved by just applying or taking medicine casually.

If you have chronic low back pain caused by sitting for a long time, or primary dysmenorrhea without any organic disease, hot compresses during the remission period are actually very comfortable. The warm compress can relax tense muscles, speed up local circulation, and quickly metabolize accumulated lactic acid and pain-causing inflammatory factors. I used to have a new media person A little girl has been suffering from chronic back pain for almost three years. When the pain was severe, she couldn't even go to work. Later, she followed the doctor's advice and used a hot water bottle at about 40 degrees Celsius for 15 minutes every day during the remission period. She persisted for more than two months. Not only did the frequency of low back pain attacks drop by more than half, but her aunt's waist pain became much less severe every time she came to visit. However, many clinicians do not recommend the use of hot compresses in all remission periods, especially those that have just come out of the acute phase and are accompanied by potential aseptic inflammation, such as when rheumatoid arthritis has just subsided for a week or post-herpetic neuralgia has just stabilized and is no longer so painful. If the temperature is too high rashly, Warmers and salt bags will dilate local blood vessels and induce inflammation. Last week, I treated a girl in her 20s. Her knee arthritis had just subsided less than three days ago. She applied the heated salt bag for half an hour at home. The next day, her knees were so swollen that she couldn't bend them, and the pain made her cry.

After talking about the precautions for hot compress, let’s talk about the most frequently asked questions about medication. Don’t go around asking others what medicine to take when you feel pain. Individual differences are too big. For example, the most common pain caused by chronic muscle strain and primary dysmenorrhea does not require regular medication during the remission period. If you catch a cold or feel tired, you will feel a little uncomfortable. Just take ibuprofen and acetaminophen as needed. However, girls with chronic gastritis and gastric ulcers should try to choose the enteric solvent type. Do not take it on an empty stomach to avoid irritating the stomach. If the nature of your pain is pinprick-like or discharge-like, such as post-herpetic neuralgia or diabetic peripheral neuralgia, ordinary analgesics are basically useless. You need to see a doctor for evaluation and then use pregabalin, gabapentin and other drugs specifically targeted at neuralgia. Don’t blindly increase the amount of ordinary analgesics, as the pain will not stop and may hurt your stomach. There are also many women whose chronic pain is directly linked to hormone fluctuations, such as the body aches and pains of premenstrual syndrome and unexplained joint and muscle pain during menopause. Many people take a bunch of painkillers but they don't work. If there are no contraindications to hormone use, supplementing with low-dose estrogen and progesterone will be more effective. I used to have a 47-year-old sister who suffered from pain all over her body for almost a year. Three kinds of painkillers had no effect. Later, she went to the gynecologist to adjust the hormone plan, and 80% of the pain was relieved in less than half a month.

By the way, don’t blindly buy the “special painkilling pills” and “ancestral painkilling creams” advertised in WeChat Moments and short videos. Many of them contain excessive amounts of hormones and painkilling ingredients. When you first use them, you feel they are very effective. However, if you use them for a long time, you will not only develop dependence, but may also damage your liver and kidneys, and cause osteoporosis. The gain outweighs the gain.