Here’s a disturbing trend that you might have herd of or even been effected first hand… Patient’s are walking into their Primary Care Doctor’s office complaining of back or neck pain and told to take… WAIT FOR IT… anti-depressant medication! Yes, you read that right.
Being prescribed pain medication for musculo-skeletal pain is almost common place right now. It has become so much easier to just say, “Here take this pill, don’t worry that it says ‘anti-depressant’ on the bottle. It is really for your back pain.” I have patients all the time complaining that their doctor put them on anti-depressant medication and they feel their doctor thinks the pain is in their head.
Now, I will say that may people who experience prolonged periods of pain as in 3-6 months, will have an increased likelihood of having depression. The reason is because pain is not fun. Being in pain can be depressing but don’t you think it would be better to deal with the cause of the pain rather than just mask the depression with medication? Now don’t get me wrong, there are people who are truly suffering from mental illness and issues that can benefit from medication.
But focusing on the depression, which is a by-product of the pain, seems to be just wrong to me. Why not target the cause of the pain and try to relieve the actual problem. Once the pain goes away or diminishes, you will feel better and be happier.
I recently had a patient who didn’t initially admit to me that she was taking anti-depressants, she was actually embarrassed. But after a bout of treatment she mentions that because of me she no longer is taking the anti-depressants. It felt good but in my head I just told myself that she was never really depressed, she was just in pain…
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