Short-term use of ibuprofen may increase chance of chronic pain, study suggests

Using medicine like ibuprofen and steroids to alleviate short-term well being issues may increase the possibilities of growing chronic ache, new analysis suggests.

The findings from the small study point out that it could possibly be time to rethink how ache is handled. Normal restoration from a painful damage entails irritation – the physique’s pure response to damage and an infection – and new analysis suggests blocking irritation with medicine may result in harder-to-treat points.

It may be that irritation has a protecting impact, resembling stopping acute ache from turning into chronic, and that overly decreasing it may be dangerous.

Jeffrey Mogil, a professor of ache research at McGill University in Canada, mentioned: “While ibuprofen was not studied explicitly in either the human or the mouse data (in the mouse we used diclofenac), as ibuprofen is so common in the UK, it is highly likely that a large percentage of those in the UK Biobank who reported taking ‘NSAIDs’ (non-steroidal anti-inflammatory drugs) were in fact taking ibuprofen.”

Researchers mentioned lower-back ache was probably the most generally reported type of chronic ache – ache that persists for longer than can be anticipated after the damage – and resulted in large financial and medical prices every year.

Most sufferers obtain customary therapies resembling non-steroidal anti-inflammatory medicine together with ibuprofen and corticosteroids. But these medicine are solely considerably efficient, and little is thought about why acute ache, which begins instantly in response to one thing particular, is resolved in some sufferers however persists as chronic ache in others.

To perceive the transition from acute to chronic lower-back ache, researchers adopted 98 sufferers with acute lower-back ache for 3 months.

They additionally examined the mechanisms of ache in each people and mice, and located that neutrophils – a kind of white blood cell that helps the physique combat an infection – play a key function in resolving ache.

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Blocking these cells in mice extended the ache for as much as 10 instances the traditional length.

Treatment with anti-inflammatory medicine and steroids resembling dexamethasone and diclofenac additionally produced the identical consequence, though they had been efficient in opposition to ache early on.

Researchers mentioned the findings had been supported by a separate evaluation of 500,000 individuals within the UK Biobank study, which confirmed that these taking anti-inflammatory medicine had been extra more likely to have ache two to 10 years later. This impact was not seen in individuals taking paracetamol or antidepressants.

Dr Franziska Denk, senior lecturer at King’s College London, mentioned: “It would most definitely be premature to make any recommendations regarding people’s medication until we have results of a prospectively designed clinical trial.”

Prof Blair Smith, from the University of Dundee, mentioned: “The theory is that inflammation may have a protective effect in the long-term, and that overly reducing inflammation may be harmful.

“However, it is important to note that this is just one study, and more research is needed to confirm and investigate this further.”

The findings are revealed in Science Translational Medicine.

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