Learn what you can do when pain management doesn’t work and how you can work with your doctor to find relief.
What is chronic pain?
Chronic pain is pain that lasts for three months or more and is usually seen in conditions such as arthritis, fibromyalgia, lupus, migraine, and cancer. It can also occur following an injury or infection, such as herpes.
Why do my pain medications not work anymore?
Pain management aims to control symptoms and improve quality of life. However, over time, your body can develop a tolerance to medications such as opioids, which are analgesics often prescribed for pain.
Reasons pain management may not work or stop working include:
- Tolerance: Your body may develop a tolerance to the pain medication, as it increases the number of binding sites or receptors needed for pain control.
- Medication interference: Other supplements or medications you are taking may interfere with the absorption or action of your pain medications, thereby making them ineffective.
- Unhealthy lifestyle: A sedentary lifestyle, tobacco use, alcohol, consumption, and caffeine intake can make pain management difficult.
- Severe tissue damage: Some people may develop severe tissue damage or inflammation that can be only relieved by surgery, such as joint replacement or nerve decompression surgery, and not pain medications.
14 things you can do when pain management doesn’t work
If your pain management doesn’t work, your doctor may recommend the following:
- Increased dosage
- Change in prescription to a different drug category or class
- Assessment for possible drug-drug interaction or drug-food interaction
- Painkiller patches, creams, or ointments
- Nerve blocks or electrical nerve stimulation
- Steroid or numbing injections
- Pharmacogenetic analysis to determine medications that will help you the most based on your genes
- Other medications, such as antidepressants or anti-seizure medications
- Biofeedback to reduce your pain and stress levels
- Cognitive-behavioral therapy
- Alternative medicine, such as herbal supplements, acupressure, acupuncture, reiki, hypnosis, or massage therapy
- Relaxation techniques, such as meditation or yoga
- Physical therapy to improve your range of motion or flexibility and reduce pain
- Occupational therapy to help you do your daily tasks with less pain or discomfort
What lifestyle changes can help with pain management?
Certain lifestyle changes can help you cope with pain better:
- Eat a nutritious diet rich in whole foods
- Stay hydrated
- Exercise regularly
- Get adequate sleep
- Maintain a healthy weight, as being overweight can put more pressure on your joints
- Avoid addictive substances, such as tobacco, alcohol, and caffeine
- Relieve stress through hobbies such as painting, music, or reading
- Ask your doctor about support groups you can join or clinical trials you can enroll in for pain management
Health Solutions From Our Sponsors
National Institutes of Health. Pain: You Can Get Help. https://www.nia.nih.gov/health/pain-you-can-get-help
University of Utah Health. Painkillers don’t work for me anymore – Am I Normal? https://healthcare.utah.edu/the-scope/shows.php?shows=0_2ej8lout
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