If pain medication is taken regularly, there is always a risk of addiction, and stomach and cardiovascular problems can also occur. You should therefore only take painkillers over a longer period of time in consultation with us.
In the case of chronic pain, we often recommend taking painkillers on a fixed schedule rather than when the pain occurs. In this way, taking the medication is decoupled from the pain. The amount of painkillers is then gradually reduced.
In the case of neuropathic pain, we often prescribe medication for epilepsy or antidepressants to “calm” the nerves.
Relatives play a major role in pain therapy. If they relieve an affected person of unpleasant tasks, for example, they experience a reward for their pain. Encouraging them to exercise and think positively, on the other hand, can alleviate the pain. Self-help groups can also have a positive effect through the exchange within the group.
Psychotherapy can be helpful in treating the pain and its triggers. We have had particularly good experiences with behavioral therapy. In this way, those affected learn to replace negative thought sequences with new, positive ones. Depending on the cause of the pain, trauma therapy can also help. Independent endurance training, physiotherapy and functional training have also proven to be effective. As a rule, we will check the success of the treatment at regular follow-up appointments – usually after four to six months – and discuss further measures if necessary. The main goal is not to feel no more pain, but to enjoy a better quality of life.
Attending Physician, Department of Neurology
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University Hospital Zurich
Department of Neurology
Pain department
Frauenklinikstrasse 26
8091 Zurich