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When to worry about pain

Quando dovresti preoccuparti del dolore?

Tutti noi sperimentiamo dolori e fastidi di tanto in tanto. Muscoli indolenziti dopo un allenamento intenso, un mal di testa causato dallo stress, o forse una vecchia ferita che si riacutizza di tanto in tanto. Ma cosa succede se quel dolore non scompare o improvvisamente peggiora? Arriva un momento in cui il dolore non è solo un fastidio generale e deve essere controllato.

Common causes of pain

It's not unusual to feel aches and pains from time to time. If you're ill you often feel achy, the cold can cause joints to feel a little stiffer, or you may have a minor injury that will clear up on its own.

GP Dr Roger Henderson says that musculoskeletal pain - such as lower back pain, anca e knee pain, and ligament or tendon pains - are an extremely common cause of pain.

But if your pain is affecting your quality of life you need to speak with your pharmacist or doctor.

"If pain suddenly becomes worse, is a different type of pain to that normally experienced, it affects your quality of life so that normal activities are affected, or regular antidolorifici are required, then a healthcare professional opinion should be sought," he says. "Pain that persists for no good reason should also be investigated."

Pain you should not ignore

Just as it's important to seek medical help for pain that suddenly gets worse, there are also certain types of pain that should never be ignored.

Henderson explains that there are several types of pain that require urgent attention.

In an emergency, call 999 - in the UK - and ask for an ambulance.

He says this is especially important if:

  • The pain is the result of an injury or accident.

  • It is a sudden and sharp dolori addominali oppure toracico. This may be a symptom of a attacco di cuore - especially if accompanied by shortness of breath or dizziness.

  • The pain is making it difficult to work or sonno.

Henderson advises that an unusually severe mal di testa should never be ignored - especially if it wakes you from sleep, comes on like a thunderclap, or is a first-or-worst headache. The latter means it's the first time you've ever had a pain like this, or the worst headache you've ever experienced.

"Calf pain can be a sign of a blood clot, especially after a long period of sitting or immobility," he says. "Any pain that is also associated with perdita di peso involontaria should always be investigated. If in doubt, get checked out."

Long-term pain

Long-term (chronic) pain can be caused by underlying conditions.

Henderson says: "Many illnesses or disorders, such as influenza, fibromialgia, and sindrome dell'intestino irritabile are well known for causing pain but almost any part of the body can be affected by painful conditions."

Artrite

Artrite can cause dolore articolare and bone pain. A trapped nerve can cause shooting pains in the affected area.

Endometriosi

Endometriosi is a condition that causes the lining of the uterus to grow in areas outside the uterus. It can cause severe pain.

Fibromialgia

Fibromialgia is a long-term condition which causes pain all over the body. It is not known what causes the condition but it can lead to affaticamento, headaches, difficulty sleeping, muscle stiffness, and increased sensitivity to pain.

When to see a doctor about pain

The same rules apply to any pain caused by underlying conditions - if it persists, suddenly becomes worse, or is affecting your quality of life then you should seek medical help from a pharmacist or doctor.

"If the pain is simple or relatively easy to deal with then ask your pharmacist for advice initially," Henderson says. "If you have any concerns about the type of pain you are experiencing then speak with your doctor."

Home remedies for pain

If your pain is not so severe that you need to see a doctor, but is still causing you discomfort, there are a few options to manage it yourself at home.

Getting enough sleep is vital to helping your body heal, so if you have pain that's not going away getting enough rest is key.

For inflammation pain

Over-the-counter painkillers can also help with aches and pains that need a bit of attention. If your pain is associated with inflammation, such as headaches or back pain, then paracetamolo and anti-inflammatory painkillers, such as ibuprofene, work best.

Some people cannot take medicines such as ibuprofen - so check with your pharmacist that it won't interact with other medicines or existing conditions you may have.

For musculoskeletal pain

If your pain is due to musculoskeletal issues such as muscle pulls and ligament sprains, Henderson advises that a few days of rest and painkillers are often all that is required.

"Sometimes a compression bandage and elevating the area can help, depending on the affected part of the body," he adds.

For lower back pain

For simple lower mal di schiena, gentle activity is better than bed rest. Warm baths or compresses can also help to ease pain caused by muscle spasms.

If pain is ongoing, keeping as physically active as possible is very important as this helps to improve mood, sleep, and general wellbeing by releasing endorphins - your body's own 'feel good' hormones. It also reduces the chance of muscles and joints stiffening up, which can make matters worse in the long term.

For intense pain

Henderson says that with intense pain it can be easy to start taking shallow, rapid breaths, which can make you feel vertigini, anxious, or panicked, so instead breathe slowly and deeply.

Occasionally, stronger painkillers such as codeine are more appropriate to manage more severe pain, but taking them on a long-term basis can lead to dependency. Before taking strong painkillers it's a good idea to speak with a doctor or pharmacist or call NHS 111 for advice.

Informazioni sull'autore

Immagine dell'autore

Andrea Downey

Informazioni sul recensoreVisualizza il profilo completo

Immagine dell'autore

Dr Colin Tidy, MRCGP

Medico di base, Autore medico

MBBS, MRCGP, MRCP (Paediatrics), DCH

Il Dr Colin Tidy è un medico del NHS, con sede nell'Oxfordshire.

Storia dell'articolo

Le informazioni su questa pagina sono revisionate da clinici qualificati.

  • Prossima revisione prevista: 5 Feb 2029
  • 6 Feb 2026 | Ultima versione

    Ultimo aggiornamento di

    Lynn Stephen

    Revisione paritaria di

    Dr Colin Tidy, MRCGP
  • 12 Jan 2021 | Pubblicato originariamente

    Autore:

    Andrea Downey
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