When Carter, the chap with the agonised groin, had failed to respond to any other treatments, Al-Kaisy tried his box of tricks. Now we think of chronic pain as a shift to another place, with different mechanisms, such as changes in genetic expression, chemical release, neurophysiology and wiring. The main purpose of pain is to be the great motivator, to tell you to pay attention, to focus. I asked some friends what they thought the worst physical pain might be. This poor guy got hot burning asphalt sprayed on his arm at work; he had a claim of burning neuropathic pain. A study published in the New England Journal of Medicine has found that many elderly people are taking daily aspirin to little or no avail.
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