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Both in the abled Olympics we’ve just celebrated in Beijing and the Para-Olympics to come, the basic rules are laid down by the organizing committees and controlled through the World Anti-Doping Agency. The general rule is that athletes can use inhaled, topical and systemic corticosteroids to deal with a wide range of medical conditions.

Probably the most common is the use of inhaled corticosteroids and beta-2 agonists to allow asthma sufferers to compete in Olympics. Other than that, topical corticosteroids are used for treating skin conditions. For this and the relief of joint pain and other inflammations, cheap Prednisone is the most common medication, but athletes must get a full Therapeutic Use Exemption before using it. There are myths that using steroids enhances performance. Dr. Kenneth Fitch of the School of Sport, Exercise and Health at the University of Western Australia has conducted three double-blind, randomized, placebo-controlled studies of asthma drugs. Most health experts agree that these drug simply allow the body to resume functioning normally. So asthma sufferers are able to breathe. Inflamed joints are able to move more smoothly again. And so on. The results showed no enhanced performance. So why does WADA control their use? You can reach for Prednisone knowing it’s approved as the standard treatment by elite athletes.

Ask any familiar medic how to deal with moderate pain and the usual answer is to prescribe a painkiller like Ultram. It’s true that the medical profession is under pressure. Not enough doctors are prepared to work in general practice. It gets patients out of the door quickly, but it’s not treating them as human beings with a problem to solve.

The key issue is that, rightly or wrongly, painkillers have a bad press. Open any famous newspaper and you’ll routinely see stories of people arrested for dealing in narcotic painkillers, or hooked on them and going into rehab. People need reassurance that a drug like Ultram is safe if you use it in proper way. More importantly, they need options if they prefer to avoid taking medication for their problems.

The aim is simple. So many people need to be reintroduced to the idea of mobility. If trust is established, people work their way through the fear of movement to find they can move without feeling pain than they expected. In this, the social interaction between the patient and the therapist is crucial. This doesn’t mean people should avoid Ultram. It simply means they should take Ultram only for a limited time and work more at getting better naturally.