Chronic Pain: A Guide for Busy Professionals

Q: Chronic Pain: A Guide for Busy Professionals

Hello： Your issue seems to be related to internal medicine, and it may also be a psychosomatic disorder caused by long-term stress. <br>I recommend that you consult with an internal medicine physician or a psychosomatic medicine specialist. <br>Sincerely, Dr. <br>Ding Hsien-Wei,

Pain issues

Hello Dr.
Ding,
I have been experiencing chest and back pain and sought medical attention at a local hospital.
I consulted with a cardiologist (the ECG showed some abnormalities, but it was manageable), a neurologist (the X-ray results were acceptable, but I was advised to seek further evaluation at a larger hospital), and a rheumatologist (there were some inflammatory markers in my blood, and a urine test showed +10, which was acceptable).
As a busy working professional, I find it difficult to endure lengthy consultation times without any significant results.
However, my condition is worsening; I experience severe chest pain when I am stressed or busy (it is usually painful), and my back pain is widespread (when it intensifies, I develop a fever up to 37.5°C).
Additionally, my sense of taste and smell has gradually diminished.
I have had a drinking habit for over ten years, but I no longer wish to drink, even though my health check-ups have been fine.

I have experienced debilitating pain to the point of preparing for end-of-life matters, and I have had irregular menstruation for a long time, along with oliguria and severe edema.
Pain relief medications have been ineffective.
Please guide me on a clear path forward.
I am 156 cm tall and currently weigh only 43 kg.
I sincerely ask for your assistance, and I greatly appreciate your time.
Thank you, and I wish you well.

CORA, 40~49 year old female. Ask Date: 2006/06/08

Dr. Ding Xianwei reply Neurosurgery

Hello: Your issue seems to be related to internal medicine, and it may also be a psychosomatic disorder caused by long-term stress.
I recommend that you consult with an internal medicine physician or a psychosomatic medicine specialist.
Sincerely, Dr.
Ding Hsien-Wei, Neurosurgery.

Reply Date: 2006/06/08

More Info

Chronic pain can be a debilitating condition, especially for busy professionals who often juggle multiple responsibilities. Your description of persistent chest and back pain, along with other symptoms like fatigue, altered taste and smell, and significant weight loss, indicates that you are experiencing a complex interplay of physical and possibly psychological factors. It’s crucial to approach this situation holistically, considering both medical and lifestyle aspects.

Firstly, it’s important to understand that chronic pain can stem from various sources, including musculoskeletal issues, nerve damage, inflammation, or even psychological stress. Given your history of seeing multiple specialists without a clear resolution, it may be beneficial to seek a comprehensive pain management program. Such programs often involve a multidisciplinary approach, including physical therapy, pain management specialists, and mental health professionals. This can help address not only the physical aspects of your pain but also the emotional and psychological components that may be exacerbating your condition.

The symptoms you describe, such as increased pain during stressful situations and the feeling of being overwhelmed, suggest that stress management techniques could be beneficial. Chronic stress can lead to muscle tension, which may worsen your pain. Techniques such as mindfulness meditation, yoga, or even simple breathing exercises can help reduce stress and improve your overall well-being. Regular physical activity, tailored to your ability, can also help alleviate pain and improve mood.

Regarding your weight loss and reduced appetite, it’s essential to consult a nutritionist or dietitian who can help you develop a meal plan that meets your nutritional needs. Chronic pain and stress can often lead to changes in appetite, and maintaining a balanced diet is crucial for recovery and overall health.
Additionally, the fact that you have a long-standing history of alcohol consumption may also play a role in your current health issues. Alcohol can interfere with the body’s pain signaling pathways and may contribute to inflammation. If you are considering reducing or eliminating alcohol, seeking support from a healthcare professional or a support group can be beneficial.

It’s also worth noting that your symptoms, such as the fever and changes in urination, warrant further investigation. These could indicate underlying conditions that need to be addressed. If you haven’t already, consider asking your healthcare provider for a referral to a pain management clinic or a rheumatologist who specializes in complex pain syndromes. They can provide a more targeted approach to diagnosing and managing your symptoms.

In summary, navigating chronic pain as a busy professional requires a multifaceted approach. Focus on finding a supportive healthcare team that can address both the physical and emotional aspects of your pain. Incorporate stress management techniques into your daily routine, maintain a balanced diet, and seek support for any lifestyle changes you wish to make. Remember, you are not alone in this journey, and there are resources available to help you regain control over your health and well-being.

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