Q and A on Pain Management: Need for Pain Management, Treatment- Medications, PT, Surgery

Acute pain is an agonizing perception of injury or feeling of hurt. Pain is felt with different intensity. Pain is a symptom, which diverts attention to the recognition of injury to normal tissue or organ.

Pain Management: Need for Pain Management, Treatment- Medications, PT, Surgery

It is essential to identify cause of distress as soon as possible for treatment as well as prevention of further tissue damage. Acute pain may last for 3 to 6 months.

Chronic pain could be secondary to cancer or non-cancer in etiology. Chronic pain is presented as nociceptive, neuropathic, or mixed pain. Chronic pain is a pain, which continues after 3 to 6 months as continuous pain and suffering.

Seventy million adults in United States suffer with chronic pain, which is 35% of adult population suffering with chronic back pain and spine pain. Ten percent of populations in the USA are diagnosed of arthritis. Seventy percent of adults between 35 and 55 suffer with low back pain at least once in their lifetime in USA.

What is Pain Management?

Pain management is a treatment program involving multiple specialties to treat chronic pain. Pain management is also called Multidisciplinary Pain Management, when multiple specialties are involved in treating pain.

Which Are The Most Common Chronic Pains Needing Pain Management?

When Do I Need Pain Management?

Continuous pain for 6 months or more and not responding to conservative treatment may need to be evaluated at the Pain Clinic offering a multidisciplinary approach of Pain Management Treatment.

What is Conservative Treatment?

Primary care physicians or specialist provides conservative treatment. Conservative treatment includes oral pain medications and manual treatment. Choice of manual treatments is massage, chiropractic treatment and physical therapy.

What Are Choices Of Treatment For Chronic Pain?

Chronic Pain Is Treated With Following Choices:

Medications for Chronic Pain Management

  1. NSAIDs
  2. Opioids
  3. Muscle Relaxants
  4. Antiepileptic analgesics
  5. Antidepressant analgesics

Manual Treatment for Chronic Pain Management

  1. Physical Therapy
  2. Chiropractic Treatment
  3. Massage

Interventional Treatment for Chronic Pain Management

  1. Cortisone Injection
  2. Trigger Point Injection
  3. Nerve Block
  4. Epidural Injection
  5. Sympathetic Nerve Block
  6. Spinal Cord Stimulator
  7. Intrathecal Medications Using Programmable Pump

Surgery for Chronic Pain Management

Alternative Medicine for Chronic Pain Management

  1. Herbs
  2. Yoga
  3. Ayurveda Medicine
  4. Hydrotherapy
  5. Acupuncture
  6. Pressure Point
  7. Reiki Treatment
  8. Homeopathy Treatment

What Is Multidisciplinary Approach Of Pain Management?

Chronic pain is initially treated by medications and manual treatments. Interventional pain treatment and surgery is advised if initial treatment fails. Two percent population (6 million) in USA suffers with chronic pain, which fails to respond to all choice of pain therapy. Patients suffering with continuous intractable chronic pain after multiple surgeries, multiple medications including oral opioids, failed multiple physical therapy and failed multiple injection treatments are candidates for pain management at Multidisciplinary Pain Clinic. Pain treatment offered at Specialty Pain Clinic includes Chiropractic treatment, Physical Therapy, Interventional Pain Therapy or Surgery. Specialty pain clinic may not be practicing Multidisciplinary Approach of Pain Management.

Pramod Kerkar, M.D., FFARCSI, DA
Pramod Kerkar, M.D., FFARCSI, DA
Written, Edited or Reviewed By: Pramod Kerkar, M.D., FFARCSI, DA Pain Assist Inc. This article does not provide medical advice. See disclaimer
Last Modified On:September 18, 2018

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