Interventional Pain Management: Approach to Chronic Pain
dr pankaj n surange asked:
ventional Pain Management: Approach to Chronic Pain
Pain treatment begins with an assessment of the severity of the pain. Commonly, the first steps of treatment are rest, application of cold or heat and intake of OTC (over the counter) medication. The next step in the treatment of pain is a combination of physical therapy and prescribed pain medication. It is important to note that sometimes, interventional pain management needs to be started prior to Physical Therapy in order to stop acute pain (i.e. acute radiculopathy) and allow the patient to comply with necessary exercise. If prescribed pain medication and physical therapy don’t work, the next step is usually interventional pain management, unless the patient has acute loss of function or acute neurological deficit (in which case surgery is needed. However, even after surgery interventional pain management has a very important role in the treatment of patients, especially when all other options are exhausted (eg. “failed back surgery” syndrome).
The Specialty of “Pain Management” has progressed significantly in the last 20 years through a better understanding of anatomy and physiology, and through advances in pharmacology and technology.
The goals of interventional pain management are to relieve, reduce, or manage pain and improve a patient’s overall quality of life through minimally invasive techniques specifically designed to diagnose and treat painful conditions. Interventional pain management also strives to help patients return to their everyday activities quickly and without heavy reliance on medications. Often other treatments are include such as physical therapy, occupational therapy, and lifestyle modification (such as exercise, diet, and smoking cessation) to further enhance these procedures.
Before any treatments are started, we may perform diagnostic tests to rule out other conditions that may present similar symptoms. These tests may include x-rays, CT scan, MRI, and possibly blood tests.
Early Intervention:
Early interventional treatments in Pain Medicine have been found to return injured patients to work and regular activities more rapidly than past conservative therapies. Early treatment of inflamed injured tissues and articulations quickly resolves the insult, not allowing chronic inflammation with resultant joint and tissue destruction. Pain Medicine physicians are trained in diagnostic patient evaluations, including radiographic interpretations and diagnostic injections when indicated. Early intervention decreases unnecessary chronic pain, long-term treatments and disabilities.
Some facts about the Speciality
American society of Interventional pain physician
In USA, The Department of Health and Human Services Centers for Medicare and Medicaid Services issued a memo March 4, 2005, including Interventional Pain Management specialists on the list of clinical specialties to be included in carrier advisory committees.
Pain relief a human right – WHO (world health organization)
“Pain relief should be a human right, whether people are suffering from cancer, HIV/AIDS or any other painful condition,”
Study by International association for study of pain and European federation of IASP
One person in five suffers from moderate to serious chronic pain, and one in three are unable or only with difficulty able to lead an independent life .One in four sufferers say pain disrupts or destroys relations with family and friends.
American cancer society
30%-50% have pain at the time of diagnosis of cancer. 70% to 90% have severe pain when the disease is advanced.
40% die with severe pain. 60%-80% complains of inadequate pain relief by their physician.30% are not relieved by drug treatment alone, so require interventional pain management.
___________________________________
• More than 90% cancer pain can be adequately controlled.
FIoricet side effects
ventional Pain Management: Approach to Chronic Pain
Pain treatment begins with an assessment of the severity of the pain. Commonly, the first steps of treatment are rest, application of cold or heat and intake of OTC (over the counter) medication. The next step in the treatment of pain is a combination of physical therapy and prescribed pain medication. It is important to note that sometimes, interventional pain management needs to be started prior to Physical Therapy in order to stop acute pain (i.e. acute radiculopathy) and allow the patient to comply with necessary exercise. If prescribed pain medication and physical therapy don’t work, the next step is usually interventional pain management, unless the patient has acute loss of function or acute neurological deficit (in which case surgery is needed. However, even after surgery interventional pain management has a very important role in the treatment of patients, especially when all other options are exhausted (eg. “failed back surgery” syndrome).
The Specialty of “Pain Management” has progressed significantly in the last 20 years through a better understanding of anatomy and physiology, and through advances in pharmacology and technology.
The goals of interventional pain management are to relieve, reduce, or manage pain and improve a patient’s overall quality of life through minimally invasive techniques specifically designed to diagnose and treat painful conditions. Interventional pain management also strives to help patients return to their everyday activities quickly and without heavy reliance on medications. Often other treatments are include such as physical therapy, occupational therapy, and lifestyle modification (such as exercise, diet, and smoking cessation) to further enhance these procedures.
Before any treatments are started, we may perform diagnostic tests to rule out other conditions that may present similar symptoms. These tests may include x-rays, CT scan, MRI, and possibly blood tests.
Early Intervention:
Early interventional treatments in Pain Medicine have been found to return injured patients to work and regular activities more rapidly than past conservative therapies. Early treatment of inflamed injured tissues and articulations quickly resolves the insult, not allowing chronic inflammation with resultant joint and tissue destruction. Pain Medicine physicians are trained in diagnostic patient evaluations, including radiographic interpretations and diagnostic injections when indicated. Early intervention decreases unnecessary chronic pain, long-term treatments and disabilities.
Some facts about the Speciality
American society of Interventional pain physician
In USA, The Department of Health and Human Services Centers for Medicare and Medicaid Services issued a memo March 4, 2005, including Interventional Pain Management specialists on the list of clinical specialties to be included in carrier advisory committees.
Pain relief a human right – WHO (world health organization)
“Pain relief should be a human right, whether people are suffering from cancer, HIV/AIDS or any other painful condition,”
Study by International association for study of pain and European federation of IASP
One person in five suffers from moderate to serious chronic pain, and one in three are unable or only with difficulty able to lead an independent life .One in four sufferers say pain disrupts or destroys relations with family and friends.
American cancer society
30%-50% have pain at the time of diagnosis of cancer. 70% to 90% have severe pain when the disease is advanced.
40% die with severe pain. 60%-80% complains of inadequate pain relief by their physician.30% are not relieved by drug treatment alone, so require interventional pain management.
___________________________________
• More than 90% cancer pain can be adequately controlled.
FIoricet side effects
Tags: Diagnostic Tests, Occupational Therapy
What is Arthritis All Important Thing About Arthritis
dr. sarkozy asked:
Pain is the body’s warning system that alerting you about that something is wrong. The IASP defines it as an unpleasant experience that associated with actual or potential tissue damage to a person’s body. Specialized nervous system cells (neurons) that although transmit pain signals are found throughout the skin and other body tissues. These cells moreover respond to things such as injury or tissue damage. For example here when a harmful agent such as a sharp knife comes in contact with your skin, chemical signals travel from neurons that in the skin through nerves in the spinal cord to your brain, where they are interpreted mere as pain.
Acute Vs. Chronic Pain
Most forms of arthritis are those associated with pain What Is Arthritis?
The word arthritis literally means joint inflammation then but it is often used to refer to a group of more than 100 rheumatic diseases that all can cause pain, stiffness, and moreover swelling in the joints. These diseases may further affect not only the joints but also other parts of the body and including important supporting structures such as:
# muscles
# bones
# tendons
# ligaments
# internal organs
What Is Pain?
that can be divided further into two general categories: acute and chronic.
# Acute pain is temporary. It can even last a few seconds or longer but wanes as for healing occurs. Examples of things that so cause acute pain include burns, cuts, and fractures.
# Chronic pain, such as that seen in people with the osteoarthritis and rheumatoid arthritis, ranges from mild to severe and may last weeks or months, years, or a lifetime.
The pain of arthritis may actually come from various different sources such as inflammation of joint tHerbal Massage Oil for Back Painissue and tendons or ligaments, muscle strain and fatigue. Factors that so contribute to pain include swelling within the joint and the severity of inflammation (associated with heat or redness), and the moreover extent of damage within the joint.
Easing the pain caused by arthritis
Arthritis that comes from the Greek word “arthron” meaning joint. Arthritis infact literally means ‘joint inflammation’. According to the Arthritis Foundation few there are more than 100 different diseases that produce joint pain and inflammation - and everything from the flu to certain cancers. The two most other common forms of ‘arthritis’ are osteoarthritis and rheumatoid arthritis.
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Pain is the body’s warning system that alerting you about that something is wrong. The IASP defines it as an unpleasant experience that associated with actual or potential tissue damage to a person’s body. Specialized nervous system cells (neurons) that although transmit pain signals are found throughout the skin and other body tissues. These cells moreover respond to things such as injury or tissue damage. For example here when a harmful agent such as a sharp knife comes in contact with your skin, chemical signals travel from neurons that in the skin through nerves in the spinal cord to your brain, where they are interpreted mere as pain.
Acute Vs. Chronic Pain
Most forms of arthritis are those associated with pain What Is Arthritis?
The word arthritis literally means joint inflammation then but it is often used to refer to a group of more than 100 rheumatic diseases that all can cause pain, stiffness, and moreover swelling in the joints. These diseases may further affect not only the joints but also other parts of the body and including important supporting structures such as:
# muscles
# bones
# tendons
# ligaments
# internal organs
What Is Pain?
that can be divided further into two general categories: acute and chronic.
# Acute pain is temporary. It can even last a few seconds or longer but wanes as for healing occurs. Examples of things that so cause acute pain include burns, cuts, and fractures.
# Chronic pain, such as that seen in people with the osteoarthritis and rheumatoid arthritis, ranges from mild to severe and may last weeks or months, years, or a lifetime.
The pain of arthritis may actually come from various different sources such as inflammation of joint tHerbal Massage Oil for Back Painissue and tendons or ligaments, muscle strain and fatigue. Factors that so contribute to pain include swelling within the joint and the severity of inflammation (associated with heat or redness), and the moreover extent of damage within the joint.
Easing the pain caused by arthritis
Arthritis that comes from the Greek word “arthron” meaning joint. Arthritis infact literally means ‘joint inflammation’. According to the Arthritis Foundation few there are more than 100 different diseases that produce joint pain and inflammation - and everything from the flu to certain cancers. The two most other common forms of ‘arthritis’ are osteoarthritis and rheumatoid arthritis.
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Tags: Internal Organs, Tissue Damage
