Drugs

Question 1

what is pain

Answer 1

physical/electrical input coming from the body and is combined with historical and contextual factors in the brain

can be from actual tissue damage or perceived tissue damage

Question 2

personal experience of pain influenced by

Answer 2

biological psych and social factors

Question 3

central sensitization

Answer 3

NS changes in ways that makes it more responsive to input that would not be painful normally
nerves adapt by increasing resting levels of excitement
pain persists for longer than 3 months

Question 4

how do NSAIDs work

Answer 4

suppress inflammation by inhibiting the COX enzyme

Question 5

why use NSAIDs

Answer 5

good at treating pain caused by slow tissue damage such as arthritis
works well to fight pain, menstrual cramps, headaches
reduce clotting action

Question 6

NSAIDS are typically not used for more than

Answer 6

10 days unless doc says otherwise

Question 7

how does acetaminophen work

Answer 7

blocks pain by inhibiting the synthesis of prostaglandin in the CNS but not in peripheral system
reduces pain signals

Question 8

T/F: tylenol acts as an analgesic and reduces fever because of anti-inflammatory or antiplatelet properties

Answer 8

false, no anti-inflammatory of antiplatelet properties

Question 9

does acetaminophen cause GI irritations

Answer 9

not so often
processed through liver

Question 10

using tylenol and advil together

Answer 10

safe
common
do not exceed prescribed dose
best to take 2-4h alternated
work differently to help with pain

Question 11

topical NSAIDs

Answer 11

direct application to painful site to produce local-pain relieving effect which avoids whole body distribution of the drug at physiological levels

more superficial pain conditioning

Question 12

ethical considerations for NSAIDs

Answer 12

mediate pressure from players, coach, etc.
masking the pain?

Question 13

benefits of corticosteroid injections

Answer 13

steroid hormone
widely used to help decrease inflammation and pain by delivery of potent anti-inflammatories

Question 14

concerns of corticosteroids injections

Answer 14

length of benefits and safety concerns that limit the frequency of use

Question 15

effectiveness of intra articular therapies in OA

Answer 15

more effective than placebo 1-2 post injc.
4-24 little evidence
prolonged use no good
higher doses for longer treatment associated with chondrotoxicity
recommended for short term use

Question 16

goal of muscle relaxants in rehab

Answer 16

normalize muscle excitability without profound decrease in muscle function

Question 17

muscle relaxants help reduce

Answer 17

increased muscle tone and spasticity

Question 18

do muscle relaxants work

Answer 18

maybe yes maybe no :)
indicated for short term in conjunction with other modalities

Question 19

CBD

Answer 19

chemical component extracted from cannabis

Question 20

benefits of CBD in athletes

Answer 20

rest better
reduce stress and feel better in the face of challenges
can deflate muscles after damage caused by exertion
reduce pain

Question 21

opioids facts

Answer 21

addictive
after only 3 days of use can become addictive
people are not worried enough about addiction

Question 22

what are opioids

Answer 22

broad group of pain relieving drugs that work by interacting with opioid receptors in cells

Question 23

effect of opioids

Answer 23

cell releases signals that muffle perception of pain and boosts feeling of pleasure

Question 24

characteristics of opiods

Answer 24

different strength and potency and duration of effect
enters bloodstream faster if snorted

Question 25

can overdose of opioids occur even with prescribed dose

Answer 25

yes

Question 26

consequences of opioids consumption

Answer 26

increased tolerance
dependence
progression to more potent drugs and methods of administration

Question 27

heroin use is

Answer 27

part of a larger substance abuse problem
highly addictive with high risk of overdose and death

Question 28

what does opioid overdose look like

Answer 28

respiratory issue
provide naloxone

Question 29

opioid prevention

Answer 29

complete pain management plan (education)
realsitic expectations and goals
3-7 day supply limit
lowest dose possible
non-opioid alternatives
physician re-evaluation
refill policies

Question 30

non-pharmalogical pain management strategies

Answer 30

modalities and massage
movement
psychosocial interventions
sleep and nutrition

Question 31

how can movement help manage pain

Answer 31

induce an anti-inflammatory stare and activate antinociceptive pathways
isometrics helps
improve self-efficacy for managing pain and fear of re-injury