Title: PAIN MANAGEMENT

Abstract:

When acute pain turns into chronic, then it is not a symptom of a disease, but it is a disease in itself. It lasts longer than the expected course of the disease or injury. Usual period of 3-6 months. In the past the answer to chronic pain was: "everything is in your mind". A useful definition by Margo McCaffrey is: "pain is what describes the person who experiences it and exists when he says he exists." The International Union for the Study of Pain says it is "an unpleasant aesthetic and emotional experience, combined with actual or potential tissue damage, or described in terms of such damage". Pain is transmitted through the body through the nervous system when nerve endings detect damage to a part of the body.

Today, pain specialists can understand how pain is created: the way the nervous system, including the spinal cord, interacts with the brain to create the sensation of pain. Knowledge of the neurotransmitter system, the chemical messengers that transmit nerve signals, has paved the way for important new methods of treating pain. In recent years, scientists have learned how to manage these chemical messengers to change the way they interact with brain signals. This has led to the use of antidepressants and other drugs, which work with certain chemicals in the brain, such as which affect emotions and help in perceiving pain. There are now drugs that are very effective. And with advances in MRI, researchers can prove that the changes are very real in the brain. We can see exactly where the sensation of pain in the brain is created, when it is activated by a stimulus. We can see the effects of pain on a person's emotional state. There is also a new concept, a process called central awareness. If the initial pain from an injury is not treated properly, then these pain signals are sent repeatedly, resulting in changes in the central nervous system, which make it increasingly vulnerable. So over time, even normal stimuli can be perceived as painful. With this knowledge, pain specialists are now prescribing medications that attack moderate to severe chronic pain from different perspectives: innovative drugs, nerve-targeting techniques, and drug delivery pumps that offer strong nerve analgesia. Doctors also approve of the use of psychotherapy, relaxation techniques, hypnosis and alternative therapies, such as acupuncture, which rely on the growing evidence of a brain-body connection to relieve chronic pain. There is still much to learn, but research has shown evidence of the development of even newer treatment options. Pain specialists now prescribe medications that attack moderate to severe chronic pain from different angles: innovative drugs, nerve-targeting techniques, and drug pumps, which offer strong nerve root analgesia. Doctors also approve of the use of psychotherapy, relaxation techniques, hypnosis and alternative therapies, such as acupuncture, which rely on the growing evidence of a brain-body connection to relieve chronic pain. There is still much to learn, but research has shown evidence of the development of even newer treatment options. Pain specialists now prescribe medications that attack moderate to severe chronic pain from different angles: innovative drugs, nerve-targeting techniques, and drug pumps that offer strong analgesia to nerve roots. Doctors also approve of the use of psychotherapy, relaxation techniques, hypnosis and alternative therapies, such as acupuncture, which rely on the growing evidence of a brain-body connection to relieve chronic pain. There is still much to learn, but research has shown evidence of the development of even newer treatment options. and drug delivery pumps, which offer a strong analgesia to the nerve roots. Doctors also approve of the use of psychotherapy, relaxation techniques, hypnosis and alternative therapies, such as acupuncture, which rely on the growing evidence of a brain-body connection to relieve chronic pain. There is still much to learn, but research has shown evidence of the development of even newer treatment options. and drug delivery pumps, which offer a strong analgesia to the nerve roots. Doctors also approve of the use of psychotherapy, relaxation techniques, hypnosis and alternative therapies, such as acupuncture, which rely on the growing evidence of a brain-body connection to relieve chronic pain. There is still much to learn, but research has shown evidence of the development of even newer treatment options.

Many patients come for treatment in the final stages of chronic pain, when it is more difficult to treat. The sooner treatment is started, the better the chances of successfully treating the pain. When the pain is severe then doctors turn to stronger drugs to treat it:

Biography:

Studies:
DIPLOMA OF MEDICINE of the Medical University of Sofia-Medical School -Sofia- Bulgaria Master's degree (recognition by DIKATSA)

Clinical Experience:

• Three-month training in regular Pathology, Surgery and Cardiology Outpatient Clinics and Emergency Clinics of the General Hospital of Trikala and in the Anesthesiology Department of the General Hospital of Trikala (20/10/2003 - 10/01/2004).
• Twelve-month field service at the Farkadonas Police Station, General Hospital of Trikala, Prefecture of Trikala (2004-2005).
• Specialization in Anesthesiology at the General Hospital of Larissa and part of it and at the University Hospital of Larissa (19/12/2005 -20/9/2010)
• Curator of B 'Anesthesiology at the General Hospital of Edessa-border A' (8/06/2011 to 8/8/2017. Permanent Decision 11/2016)
• Curator of 2nd Anesthesiology at the General University Hospital of Larissa (8/8/2017 until today) Upgrade to Curator A '19/07/2018 Scientific work
• Doctoral dissertation (Doctor of Medicine AUTh - 2016). In the context of the dissertation, attending postgraduate courses, two consecutive years and presentation of three postgraduate theses. Writing the dissertation on "Pain" and publishing the study in BMJ (2015). The topic of the doctoral dissertation entitled "Postoperative analgesia and electroacupuncture in plastic inguinal hernia repair with mesh" was announced in the number 16 / 14-4-2011 meeting of the General Assembly of the Medical School of AUTh. The Test for the doctoral diploma was graded with Excellent on 7/12/2015 and the award for a doctorate in Medicine took place on 7/3/2016.
• Diploma in Medical Acupuncture (2009). Postgraduate training in medical acupuncture ICMART (2 years). Additional four postgraduate seminars in medical acupuncture.