Are antidepressants also pain relievers?

Did you know that antidepressant medications are often prescribed for people without depression? It’s true. Antidepressants are frequently prescribed for chronic pain, especially pain related to nerve disease (called neuropathic pain), chronic low back or neck pain, and certain types of arthritis. In fact, some guidelines for the treatment of chronic low back pain and osteoarthritis (the most common type of arthritis) include antidepressants. One antidepressant in particular, duloxetine (Cymbalta), is FDA-approved for these conditions. Just how antidepressants reduce pain is not well understood. One possibility is they affect chemicals in the brain involved in pain perception, a mechanism that differs from how they fight depression. Not usually the first choice for pain relief For people with chronic low back or neck pain or osteoarthritis of the hip or knee, an antidepressant medication is not usually the first treatment recommended. Other approaches, such as physical therapy, exercise, losing excess weight, nonsteroidal anti-inflammatory drugs (NSAIDs), or cortisone injections are usually tried first. But if these aren’t helpful, antidepressants such as duloxetine or amitriptyline might be a reasonable next step. When prescribed for pain, the initial dose is typically low (often lower than the starting dose for depression). It’s gradually increased if necessary. Ideally, people notice a benefit within weeks of starting the drug, and the medication can be c...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Back Pain Bones and joints Health Osteoarthritis Pain Management Source Type: blogs

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Last week I described some of the reasons for using a case formulation approach when working through initial assessment information, and today I’m going to describe one approach for organising a formulation. This is the “4 P” formulation, and it’s one that’s often used in mental health (Bolton, 2014). In the 4 P model, there are four questions to ask yourself: Preconditions – Why is this person vulnerable to this problem?Precipitating factors – Why now? This can mean “why is this person having symptoms now?” or “why is this person presenting to this person ...
Source: HealthSkills Weblog - Category: Anesthesiology Authors: Tags: Assessment Chronic pain Clinical reasoning Pain conditions Professional topics Research Science in practice biopsychosocial case formulation Occupational therapy pain management Therapeutic approaches Source Type: blogs
Digital breast tomosynthesis (DBT) has shown itself to be a valid, beneficia...Read more on AuntMinnie.comRelated Reading: DBT can help evaluate cases of focal breast pain DBT + synthesized 2D mammo detects more cancers Mammography, DBT safe for accidental exam during pregnancy DBT screening shows value in community practice settings Synthesized mammo plus DBT handles calcifications differently
Source: AuntMinnie.com Headlines - Category: Radiology Source Type: news
Mallory Weggemann​ Mallory Weggemann on the Terrifying Moment She Was Paralyzed by an Epidural Shot: 'I Felt This Spark of Pain' Mallory Weggemann, now 31, was just a teen when she was paralyzed after a medical procedure people.com
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
In conclusion, physicians were supportive of the HPV vaccine for females with an ID and perceived parents as wanting to protect their child, but uncertain about the vaccine’s necessity. Further research is needed to better understand this population’s gynecological health care needs.
Source: Sexuality and Disability - Category: Disability Source Type: research
Source: Sexuality and Disability - Category: Disability Source Type: research
Source: Sexuality and Disability - Category: Disability Source Type: research
AbstractSex education is important for individuals with developmental disabilities; however, it is difficult for educators to find resources to support them when teaching sex education. A website, asdsexed.org, was developed to disseminate sex education resources. Using analytic data from the website we explored how dissemination occurs online. We identified (1) how visitors were referred to the website; (2) what search terms were used to look for sex education resources; (3) what content was most frequently viewed; and (4) how visitors engaged with the content. Search engines were the top referrer. Variations on the phras...
Source: Sexuality and Disability - Category: Disability Source Type: research
ConclusionIn conclusion. sexual dysfunction is commonly encountered in patients undergoing hemodialysis treatment. In these patients. psychosocial factors as well as disease-related factors have an effect on SD. Therefore. SD should be evaluated together with disease-related factors as well as psychosocial factors in patients undergoing hemodialysis treatment.
Source: Sexuality and Disability - Category: Disability Source Type: research
AbstractThis paper analysed the attitudes of the Czech public to the newly introduced service of sexual assistance to disabled persons. It constitutes the outcome of a discreet study of contributions at discussion forums of the idnes.cz newspaper related to the news concerning the introduction of the assistance (N  = 183). The data show a low level of information on the topic, but also of the sexuality of disabled persons in general. Sexual assistants are equated with prostitutes; sexuality of handicapped persons is considered impertinent, or on the contrary, identical to sexuality of healthy persons. The def...
Source: Sexuality and Disability - Category: Disability Source Type: research
AbstractAround the world, persons with disabilities (PWDs) experience disproportionate barriers to obtaining comprehensive, accessible, and inclusive sexual health education due to sexually ableist ideologies. Despite Ghana's more recent efforts to advance sexuality education, considerations for PWDs have not been addressed in the most recent Education Strategic Plan. To formulate future policy recommendations given limited PWD-specific research on sexuality education in the nation, the current status of sexuality education in Ghana is reviewed and an analysis of the international literature on barriers to sexuality educat...
Source: Sexuality and Disability - Category: Disability Source Type: research
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