Chronic pain, the main cause of disability and increased health costs, represents a weakness of modern scientific medicine. In fact:
For chronic pain there are still no scientific explanation, nor specific satisfactory scientific diagnostic tests, nor effective and safe scientific therapeutic guidelines.
Conscious of such limits, the International Association for the Study of Pain (I.A.S.P.), in its official "credo" of 2006 recommends:
“to learn more about pain mechanisms, to apply our knowledge to develop new therapies to relief pain and suffering and to transmit our knowledge one another so that hard gained benefits can apply to all mankind....The need to promote education is urgent in order to expand our educational capacities....We need more exchange about pain research and therapy at every educational technique at our disposal....It is time to do more of it.....”.
The I.A.S.P. credo seems to be in perfect harmony with those of Hippocrates, the father of medicine, who first recommended to “Do not harm” and then that “the physician has but a single task: to cure; and if he succeeds, it matters not a whit by what a means he has succeeded”. The Oat of Hyppocrates is still worldwide practiced by all scientific Medical Associations. In other words, we must abandon the actual rigor of scientific guidelines and make also use of our personal clinical experience, rather than blindly continue to follow the ineffective and unsafe scientific guidelines, which are based on the evidence of the available confusing and ambiguous world literature. Many medical scientific publications and prescriptions have clearly shown to have conflicts of interests, financial and political implications, which have influenced the objectivity of the clinical investigations and of the so-called Evidence-Based Guidelines. The well known scientific agencies for the control of the efficacy and safety of pharmacotherapy have been unable to provide for safe and effective cures for chronic pain management. Paradoxically, it has been sufficient the prescription for few years of just one single "scientifically recommended" pain killer anti-inflammatory drug (VIOXX) to cause severe ischemic complications, such as myocardial and cerebral infarcts in about 27.000 consumers.
Conscious of the unsatisfactory efficiency
and safety of modern scientific pain medicine, as physician with more
than 50 years of clinical experience in chronic pain treatment,, it
is my duty and my privilege to "serve" people' in pain, by transmitting the knowledge of my 30-years clinical experience.
This website is intended for both, the chronic pain patient and the physicians, who wants to expand his knowledge in pain medicine.
What is Pain? The International Association for the Study of Pain (I.A.S.P.) defines pain as:
“An unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage”.
Many people report pain in the absence of tissue damage or any likely physical causes.
Accordingly painkiller tablets are not indicated. The treatment of chronic pain has to be multifatctorial, personalised and must include the following factors:
- The pain
- The emotional state
- The physical damage
- The biorithmic periodicity
- The life style
- The individual vulnerability
- The activity of the systemic and regional sympathetic nervous system
The main purposes of our treatment are:
"FIRST DO NOT HARM"
Treat the patient, not just the pain
Decrease pain intensity and increase health
Protect and provent tissue damage