Pain treatments: Medications... The combination of medications effective in pain medicine depend upon the severity and cause of the symptoms, and whether the pain in acute or chronic. Analgesics effectively reduce pain perception and the emotional responses to pain and are used in increasing doses according to the WHO recommendations within the ‘pain ladder’. In chronic pain however analgesics alone are commonly ineffective without adjuvant therapies. Non Steroidal anti-inflammatories such as ibuprofen (brufen), diclofenac (voltarol) etc are widely included as therapy and frequently used as a slow release preparation to offer better sustained benefit. Contraindications include asthma and pre- existing kidney problems and many people find that gastro-intestinal side such as nausea, bloating and abdnominal pain limit their use. Muscle relaxant medications can be useful where significant pain arises from muscle spasm due to degenerative changes, injury or immobility. Such treatment is of especial benefit in neck and back pain, commonly improve mobility, speed rehabilitation and reduce the requirement for stronger analgesia.   
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