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首页> 外文期刊>The Open Pain Journal >Editorial-Complementary Medicine and Pain Treatment: One Size does not Fit All
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Editorial-Complementary Medicine and Pain Treatment: One Size does not Fit All

机译：编辑补充医学和疼痛治疗：一种尺寸并不适合所有人

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In this special issue eminent researchers in the field review the use of some among the most used complementary therapies and techniques for the treatment of pain. In the last decade, researchers have begun to understand better the complex interplay of neurons and messenger molecules that leads to the perception of pain. However, they are just now starting to explain how emotional affects and cognitive functions contribute to the experience of pain [1]. Since there are so many factors affecting pain perception and experience, the application of a traditional therapeutic model may fail as it does not consider the multidimensional nature of pain [2]. The keys to improving pain control are: good communication, comprehensive assessment of the patient, and thorough explanation of treatment options. Effective communication between doctor and patient can provide a more complete picture of the patient ? s pain experience. According to this perspective, complementary and alternative treatments are often incorporated into the care offered by multidisciplinary pain management teams, and include a wide range of techniques [3]. Voltaire stated that “doctors are men who prescribe medicines of which they know little, to cure diseases of which they know less, in human beings of whom they know nothing”. Nowadays, doctors know almost everything about the drugs they prescribe, much about the diseases they cure, but still almost nothing about the ill person. What Edison stated at the beginning of the last century is just what is practiced nowadays by the so-called holistic medicine, the medicine of the wholeness, considering human beings as an undivided whole of body-mind-spirit. On this concept of unity all unconventional medicines are based. Frustration due to poor experience of pain management may lead patients to consult alternative practitioners as a last resort [4]. Alternative therapies can offer patients an individual approach tailored to their specific needs. Patients may perceive benefit from an empathetic approach and the feeling that their pain is taken seriously [5]. Actually, the principle critique against alternative therapies deals with their lack of scientific rigor. Evidence is crucial, but it needs to be based on solid scientific foundations [6]. Hippocrates used to say: “There are in fact two things, science and opinion; the former begets knowledge, the latter ignorance”. Placebo effect is often alleged by conventional medicine as an explanation of unconventional therapies results. Yet, it could be suspected that placebo effect is advocated to cover the discomfort that scientific minds experience when faced with the unusual [7]....
机译：在本期特刊中，著名的研究人员回顾了最常用的补充疗法和技术中的某些方法在治疗疼痛方面的使用。在过去的十年中，研究人员开始更好地理解神经元和信使分子之间复杂的相互作用，从而导致人们感到疼痛。然而，他们现在才开始解释情绪影响和认知功能如何促进疼痛体验[1]。由于影响疼痛感知和体验的因素太多，传统治疗模型的应用可能会失败，因为它没有考虑疼痛的多维性质[2]。改善疼痛控制的关键是：良好的沟通，对患者的全面评估以及对治疗方案的透彻解释。医生与患者之间的有效沟通可以为患者提供更完整的信息吗？的痛苦经历。根据这种观点，辅助治疗和替代治疗通常被纳入多学科疼痛管理团队提供的护理中，并且包括多种技术[3]。伏尔泰说：“医生是那些在他们一无所知的人中开出他们所知甚少的药物来治疗他们所知不多的疾病的人”。如今，医生几乎对他们开出的药物，所治疗的疾病一无所知，但对病人却一无所知。爱迪生在上个世纪初所说的，正是当今所谓的整体医学（整体医学）所采取的做法，这种医学将人类视为精神上不可分割的整体。所有这种非常规药物都基于统一的概念。由于不良的疼痛治疗经验而导致的挫败感可能会导致患者寻求替代疗法作为最后的选择[4]。替代疗法可以为患者提供适合其特定需求的个性化方法。患者可能会从共情的方法中得到好处，并且感觉疼痛得到了认真对待[5]。实际上，对替代疗法的原则性批判是由于缺乏科学严谨性。证据至关重要，但必须以扎实的科学基础为基础[6]。希波克拉底曾经说过：“事实上，有两件事，科学和见解;前者生知识，后者无知”。常规医学经常宣称安慰剂作用是对非常规疗法结果的解释。然而，可以怀疑的是，提倡安慰剂作用可以掩盖科学头脑在面对不寻常[7]时所经历的不适。

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