For Your Wellbeing
Pain management can be simple or complex, requiring a wide variety of skills or techniques depending on cause and severity.
Some techniques include:
Acute pain, such as resulting from trauma, often has a reversible cause and may require only transient measures and correction of the underlying problem.
Whereas; chronic pain often results from conditions that are difficult to diagnose and treat, and may take a long time to reverse.
Doctors who specialize in pain management recognize the complex nature of pain, approaching the problem from all directions.
The concept behind most intervention procedures for treating pain is that there is a specific structure in the body with nerves of sensation that is generating the pain. Identifying the precise source of the problem and isolating the optimal treatment is the goal.
There are many sources of pain divided into two groups which determines how it is treated:
- Nociceptive pain: The body's nervous system is working properly. There is a source of pain, such as a cut, broken bone or a problem with the spine. The body's system of telling the brain that there is an injury starts working and passes information on to the brain making us aware that we are hurting.
- Neuropathic pain: The body's nervous system is not working properly. There is no obvious source of pain, but the body nonetheless tells the brain that injury is present.
Types of nociceptive pain include:
Types of neuropathic pain include:
- Complex regional pain syndrome (CRPS)
- Sympathetically maintained pain
- Interstitial cystitis
- Lower bowel syndrome
Pain management is rapidly growing medical specialty that applies science to the reduction of pain covering a wide spectrum of conditions including neuropathic, sciatica, postoperative pain and more.
Both conventional medicine and unconventional methods can have a place in managing your wellness and wellbeing in a pain free state.
Some pain management strategies for common problems include:
- Headaches and facial pain: Many effective treatments exist including medication, biofeedback, injections and implants.
- Peripheral nerve pain or neuropathy: It can respond well to simple treatments such as trigger point injections with anesthetic medicines and cryoablation.
- Coccydynia: Simply pain in the region of the tailbone, or coccyx. Initial treatment with oral pain relief medicines or a local anesthetic.
- compression fractures: Common in the elderly as a result of
or loss of calcium in the bones. This is treated by stabilization by injecting cement into the bone in a procedure known as vertebroplasty.
- Post herpetic neuralgia (PHN): A painful condition occurring after a bout of shingles. Medications such as acyclovir (Zovirax), steroids and injections can prevent the onset of PHN. after the pain has set in, injections, local anesthetics, medications or topical patches can be used.
- Myofascittis (pain in the muscles): Whether in the back or neck, often responds to conservative physical therapy treatments, massage and exercise. Trigger point injections can be used if the pain persists.
- Piriformis syndrome: A spasm of the Piriformis muscle (goes from the hip to the tailbone) which squeezes the sciatic nerve causing pain down the leg. It responds well to physical therapy and local anesthetic and/or steroids can be used when it persists.
- Plantar fasciitis and lateral epicondylitis (heel pain and tennis elbow): Treatment starts with conservative options such as rest, non-steroidal anti-inflammatory medications, steroid injections, over-the counter medications, physical therapy and, for heel pain, shoe inserts.
The goal of pain management is to minimize the pain, improve function and increase the quality of life.
Medical treatments are often very effective, and when used in combination with physical therapy, exercise and alternative methods you can achieve a greater level of wellbeing.
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