Pain management in PEMF therapy

Pain management is an extremely urgent health and socio-economic issue. Pain, acute, recurrent, and chronic forms are common in age, cultural background, and gender, and are estimated to cost North American adults US$10,000 to 15,000 per person each year. The estimated cost of pain does not include the nearly 30,000 people who die from aspirin-induced stomach damage in North America each year. 17% of people over the age of 15 suffer from chronic pain, which interferes with their normal daily activities. Research shows that in North America, at least a quarter of adults suffer some form of suffering to some degree.
Such a large number of suffering people rely to a large extent on the medical profession to provide drug treatment. Many doctors are now recommending people with chronic pain to non-drug therapies, that is, "complementary and alternative medicines" to reduce drug dependence, invasive procedures, and/or side effects. The challenge is to find the least invasive, most toxic, difficult, and expensive method.

The ability to relieve pain is highly variable and unpredictable, depending on the source or location of the pain and whether it is acute or chronic. The mechanism of pain is complex, involving the peripheral and central nervous systems. Treatment should be tailored to the pain process of individual patients. Psychological issues have a very strong influence on whether or not to experience pain, how to experience pain, and whether the pain will continue. The most effective pain management strategy requires multiple simultaneous approaches, especially for chronic pain. There is rarely a solution to this problem. In recent years, more and more research has been conducted on a new and fundamentally different approach. 

This includes the use of magnetic fields (MF) produced by static (permanent) magnetic fields and time-varying (usually pulsed) magnetic fields Pemf therapy. Fields with different intensities and frequencies have been evaluated. There is no "gold standard" yet. The chosen field depends on experience, confidence, convenience, and cost. Since there does not seem to be any major benefit for any MF application, this is largely due to the inability to determine the true root cause of the pain and has nothing to do with the assumed pathology, so any method can be used empirically and the treatment can be adjusted according to the response method. After thousands of years of patient use worldwide, the risks associated with MF treatment are small. 

The main preventive measures involve pregnancy and seizures in certain frequency patterns in implanted electronic devices and in seizure-prone individuals. Magnetic fields affect pain in many different ways. These actions are direct and indirect. The direct effects of the magnetic field include neuronal discharge, calcium ion movement, membrane potential, endorphins levels, nitric oxide, dopamine levels, acupuncture, and nerve regeneration. The indirect benefits of magnetic fields to physiological functions are circulation, muscles, edema, tissue oxygen, inflammation, healing, prostaglandins, cell metabolism, and cell energy levels. Most pain studies use subjective measures to quantify baseline and outcome values. The subjective perception of pain using the visual analog scale (VAS) and pain chart is 95% sensitive to the current neck and shoulder pain and thoracic spine, and the specificity is 88%. 

The measured pain intensity (PI) varies with pain relief and satisfaction with pain management. According to the Digital Descriptor Scale (NDS) and Visual Analog Scale (VAS), the average reduction rate of PI in emergency room visits was 33%. PI reduction of 5%, 30% and 57% are related to "none", "partial/partial" and "significant/complete" lighting. If the initial PI score is moderate/severe pain (NDS>5), the PI must be reduced by 35% and 84%, respectively, to achieve "partial/partial" and "significant/complete" relief. Patients with reduced pain (NDS≤5) need to reduce PI by 25% and 29%. However, pain relief seems to only partially help relieve pain. Several authors discussed the experience of pulsed magnetic therapy (PEMF) in Eastern Europe and the West. PEMF has been widely used in many conditions and medical fields. They are most effective in the treatment of rheumatic diseases. PEMF can significantly reduce pain

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