Pains I

• Chronic Pain
Chronic pain is the term for pain that lasts long after the initial injuryhas healed. It may be caused by a disease, such as arthritis, or it may be the result of an injury such as back strain. Chronic pain can affect anyone, regardless of age or background, and can occur in almost any part of the body.
Treatment of chronic gastritis can be directed to a specific etiologic agent, when it is known. In other situations in which gastritis represents gastric involvement of a systemic disease, treatment is targeted to the primary disease. The treatment approach for Pylori infection is described in detail in this article and elsewhere. Treatment for other diseases is detailed in specific disease articles.

• Neck pain
Pain located in the neck is a common medical condition.Neck pain can come from a number of disorders and diseases of any tissues in the neck, such as degenerative disc disease, neck strain, whiplash, a herniated disc, or a pinched nerve. Neck pain is also referred to as cervical pain.The treatment of neck pain depends on its precise cause. Treatment options include rest, heat/ice applications, traction, soft collar, traction, physical therapy (massage, manipulation), local injections of cortisone or anesthetics, topical anesthetic creams, topical pain patches, muscle relaxants, analgesics, and surgical procedures
• Wrist Pain
The human hand is an extremely complex and finely-balanced structure. There are more than 25 bones in the human hand and wrist. The wrist joint provides flexibility and strength for the hand to perform an infinite variety of tasks. The two major functions of the hand, shown at left, are (1) the pinch, which uses the thumb and index finger, and (2) the power grip, which usually involves closing the hand around an object. The wrist joint can extend upward or flex downward, and can move laterally from side to side
Although there are certainly a variety of causes of wrist pain, our approach to treatment always begins the same way. For proper hand function, pain relief is the essential primary objective. Mobility is secondary. Remember that as long as your wrist is stable and pain-free, the functions of your hand will not be significantly affected, and you will be able to lead a normal, healthy life.
• Elbow pain
The elbow is the joint where three long bones meet in the middle portion of the arm. The bone of the upper arm meets the inner bone of the forearm (ulna) and the outer bone of the forearm (radius) to form a hinge joint. The radius and ulna also meet in the elbow to allow for rotation of the forearm. The elbow functions to move the arm like a hinge (forward and backward) and in rotation (twisting outward and inward). The biceps muscle is the major muscle that flexes the elbow hinge. The triceps muscle is the major muscle that extends the elbow hinge. The outer bone of the elbow is referred to as the lateral epicondyle and is a part of the humerus bone. Tendons are attach to this area which can be injured, causing inflammation or tendinitis(lateral epicondylitis, or “tennis elbow”). The inner portion of the elbow is a bony prominence called the medial epicondyle. Additional tendons from the muscles attach here and can be injured, causing medial epicondylitis, “golfer’s elbow.” A fluid-filled sac (bursa), which serves to reduce friction, overlies the tip of the elbow (olecranon bursa). The elbow can be affected by inflammation of the tendons or the bursae (plural for bursa) or conditions that affect the bones and joints, such as fractures, arthritis, or nerve irritation.
• Back pain
The complaint of low back pain is among the most common medical problems. To begin on the positive side, patients must understand that most episodes of back pain resolve, and usually within a few weeks. Unfortunately, back pain can be among the most difficult and frustrating problems for patients and their doctors.
Understanding the cause of your back pain is the key to proper treatment. Because back pain is sometimes difficult to treat, a better understanding of the causes of this problem will assist patients in their recovery from back pain.

Self-Care at Home
General recommendations are to resume normal, or near normal, activity as soon as possible. However, stretching or activities that place additional strain on the back are discouraged.
Sleeping with a pillow between the knees while lying on one side may increase comfort. Some doctors recommend lying on your back with a pillow under your knees.
No specific back exercises were found that improved pain or increased functional ability in people with acute back pain. Exercise, however, may be useful for people with chronic back pain to help them return to normal activities and work.
Nonprescription medications may provide relief from pain

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