What to Expect From Pain Management?

People often erroneously think of treatment by a pain management specialist as consisting of only narcotic “pain killers.”

However, the practice of pain medicine or pain management is diagnosis driven just like other medical specialties. Just as one goes to a cardiologist for an evaluation of heart disease and receives treatment based on a unique diagnosis, a visit to a pain management specialist results in unique treatment because every patient with pain is also different. The discipline of pain medicine is concerned with the prevention, evaluation, diagnosis, treatment, and rehabilitation of painful disorders.

Pain affects more Americans than diabetes, heart disease and cancer combined. There are approximately 116 million Americans with chronic pain, defined as pain that has lasted more than three months and 25 million people with acute pain.

Like other doctors, the pain management specialist must examine each patient and create a treatment plan based on the patient’s symptoms, examination and other findings. For example, the cardiologist must first examine you and make several determinations. These include deciding whether your heart disease will respond to weight loss and exercise, whether you have high blood pressure and need medication to lower your blood pressure or whether your cholesterol is elevated or whether you have a blockage and need an interventional procedure or as a last resort, whether you might need to be referred to a cardiac surgeon for coronary bypass surgery.

All patients with heart disease do not take the same medications. It depends upon the cause of the problem. Just as there are different treatment options available for heart disease, there are a vast number of treatment options available for spinal or orthopedic pain.

While patients may go to a pain management physician because they “hurt,” just as they go to a cardiologist because they all have heart problems, all pain does not respond to narcotics. It is an unfortunate and common misconception that if patients go to the pain management doctor, they will be treated with narcotics.

Treatments for spinal or orthopedic pain vary just like treatments for heart disease vary. It depends on what is the cause of your problem.

First of all, it is important to understand that there are different types of spinal or orthopedic pain. One might have muscular pain, ligamentous pain, joint pain, bone pain, pain due to a herniated disks, pain from a fracture, or pain from a pinched nerve or a nerve injury. Pain medicines are prescribed based upon the source of the pain.

Some patients who come to pain management never need pain medications. They may respond to an injection, other intervention, bracing, or to physical therapy. Our knowledge has increased to where we understand more on how poor posture and walking improperly all perpetuate musculoskeletal pain. With sophisticated use of exercises, tailored to a patient’s specifics needs, physical therapy may be helpful.

An evaluation in physical therapy may reveal that the patient’s pain is a result of poor movement, tight muscles, stiff muscles, weak musculature, or postural problems. For example, we know that patients who have degenerative disk disease, where the disk between two bones has started to wear and tear, can decrease the pressure on the disk by doing exercises to increase your core musculature and eliminate or reduce back pain.

Like the cardiologist who performs interventional procedures such as cardiac catheterizations, pain management physicians perform interventional procedures to eliminate or reduce pain, and surgery as in other areas of medicine should always be the last resort.

When you initially go to your cardiologist because of a minor problem, I am sure that most of you would not ask “do I need surgery?” One usually wants to explore other options before surgical interventions are explored.

From experience, I have learned that patients do best with treatment by a pain management specialist when they come with the same open mind and attitude where they are willing to explore numerous options and not become focused primarily on getting narcotics or thinking that surgery is their only option.

I used the example of the cardiologist because I know that most of us would prefer that the cardiologist explore all options before referring us to a cardiac surgeon. This is the same approach that one should use when they have an orthopedic or spinal problem. Always ask about non-surgical options for your orthopedic or spinal pain.

The pain management physician, like the cardiologist, does not perform surgery. The cardiologist does interventional techniques, prescribes medications, and oversees your cardiac rehab program. Likewise, a pain management physician manages and directs your physical therapy or rehabilitation program, prescribes medications, and performs interventional procedures. Both the cardiologist and pain specialist will refer you to a surgeon when needed.

Timing is key to the success of your treatment. You should not delay an evaluation for heart disease, nor should you continue to ignore spinal or orthopedic pain, and wait too long before seeking an evaluation with a pain specialist. I have seen far too many patients wait too late in their treatment before seeking care with a pain specialist. Like other specialties, early intervention might lead to a better outcome.

Pain management is a process. It consists of many treatment options and more importantly, the treatment for your pain may not be the same as it is for your neighbor. Just like a pacemaker may be the treatment of choice for your spouse but not the treatment of choice for you when you see a cardiologist.

With advances in pain management there are a number of treatment options and narcotics are not the treatment of choice for everyone who sees a pain management specialist.

Finding Pain Management Centers in Your Area

In current years, chronic pain management centers are being built up all over the world to satisfy the ever increasing need for pain relief. In the United States solely, these centers in main state hospitals as well as community clinics have been set up. Spine centers and cancer centers also offer solutions cure for pain.

However, as pain establishments continue to rise, there arises the question of which pain center is the suitable one for the patient. Obviously, it is crucial to discover a pain center close by before making any selections.

Here are some ways to look for a pain management center if a physician cannot provide recommendations:

A local or major hospital nearby may have a center where to manage pain or they may have partners who are one.
In the instance that the local or major hospital close by doesn’t have a pain treatment center or a partner, inquiring with their Deparment of Anesthesiology on pain treatments may help simplify the search. The Spine Center or Cancer Center are other hospital departments one can consider.
Medical schools may have pain clinics or they may also conduct tests on pain which is an excellent way for you to get treated.
Never overlook the internet. The Web has a community of pain specialists and pain management centers that is convenient to access. Similarly, different online internet directories of pain specialists and pain centers can be discovered. The formal website of the American Society of Anesthesiology can aid a lot when searching for various pain specialists and centers in a certain area.

The American Academy of Pain Management and the American Board of Pain Medicine can also help one look for treatment since these two organizations give certification to clinics and doctors. It is time to find out the attributes of a good center when one has made a list of the potential clinics, centers, or specialists in their area.

Accreditation from a recognized organization is most important. This will help make sure that the patients are getting the finest services and the ideal trained employees.
The physicians and support staff should be curious as relates to the patient’s case. They should ask questions that would help detect the main cause of the pain. They should also persuade questions from patients concerning the treatments, fees and other services being offered.
In pain management, compassion is an essential principle. Irritability and moodiness is a common characteristic of a person in pain which is why the staff of a certain center must have fortitude and understanding. Patients who are impatient about pain relief should not be reprimanded by physicians or nurses. A kindly-worded justification is the ideal thing to do if a patient’s request cannot be satisfied.
Legitimate centers never bring up a patient’s expectations too high because a complete pain cure cannot be granted. All probable treatment results must be mentioned to the patient.

Various centers are tremendously endorsed by pain patients who have obtained long-term pain relief. Some good examples of these pain centers which many patients favor are the Wasser Pain Management Centre at Mount Sinai Hospital, the Arnold Pain Management Center at Beth Israel Deaconess Medical Center in Boston, Massachusetts, and the Pain Management Center at Overlook Hospital in Summit, New Jersey.

Big U.S. medical colleges and affiliate hospitals like UCLA, Stanford University, and Duke University also include their own pain management centers. Last but definitely not least are the APAC Centers for Pain Management. Presently located in Indiana and Illinois, APAC’s surgical and clinical centers boast advanced and sympathetic attention to pain patients.

Pain Management Techniques After Surgery

One of the greatest health issues we often face in our daily life is pain. According to estimation one third people of the world are facing problems of pain. Pain in any of its kind massively affects our life quality. Pain management is the name of an interdisciplinary approach which relives or helps in relieving pain.

Pain management has different techniques according to the type and strength of pain. In a particular pain management team there are following actors involved. These are medical practitioners, clinical psychologists, physiotherapists, occupational therapists, nurses and specialists etc.

Pain is really painful after a surgery especially in orthopedic surgeries pain can be a great problem for the patient as he is completely on bed for couple of months. Therefore pain management is very important for these patients. Pain management is also necessary as a person or patient suffering the pain for a long time will be an easy prey for depression that will make his life more difficult.

Pain is adverse in its every kind and should be properly managed for easy livings. There are many techniques available that can help in managing the pain. Here we will mostly take into account the pain management techniques after a surgery.

A pain management plan after a surgery is often multidisciplinary and it might be combined by the input of medical practitioners, acupuncturists, physiotherapists, chiropractors, clinical psychologists and therapists.

Many pain management systems after surgery are focused on common methods and techniques. Here are few techniques that really help to control pain after surgeries are following. Relaxation is wildly used attribute in pain management and in this technique patient is introduced to a relaxed and friendly environment for his physical and mental relaxation.

Deep breathing, progressive muscular relaxation (PMR) and imaginary gaudiness is used for relaxation. Exercises are also used to cope with pain after surgery. These exercises are very simple physical activities. Heat and cold treatments and stress management is also used in many pain management systems.

Pain management can also involve some kind of Narcotics. If pain after surgery is massive only than narcotics can be prescribed because narcotics carry some side effects with them that can lead the patient in a problem if practiced in a regular routine.

Therapies can also play vital role in PM (pain management) after surgery. Massage therapy can be helpful to relax the muscle around the place of surgery and it will reduce the chances of inflammation and swelling at surgery location. Psychological pain management techniques can also be practiced to manage pain after surgery. In this regard a skilled psychologist can be hired that can coordinate with patient and can bring realistic results helping through the PM.

Food is also important in releasing pain. For effective PM after surgery one must have to take caution about the intakes of his patient because they really matters. Some allergic reaction might occur with some patients if their food is not given properly according to what prescribed by a doctor.

If the pain is sever after the surgery than Morphine can also be given to the patient. Morphine is a major substance in opium that is very effective against pain relief. It acts directly on the central nervous system of the patient and is most commonly used medicine for server pain after a surgical operation. Morphine can also be used to reduce pain like chronic pain like cancer etc. TENS machines can also be used for PM after a surgery. These machines give a short term relief of pain in many people but these machines should be only used with extreme care.

In rare cases pain is not get to end even after a few couple of months. In these cases one can use the latest technology to get relief. It combines nanao technology with crystals activated by body heat. It produces energy from body heat. These energy waves are transmitted to the origin which is affected by the pain. This procedure is successful even it helped the pain that was with a patient from 40 years

Chronic Back Pain Management – When Should I Consider Chronic Back Pain Management?

When you are suffering from lower back pain or sciatica, you are desperate for some type of relief. If your condition is chronic, you should consider chronic back pain management to help you live with the pain. Without a chronic pain management program to help, you might find that your abilities to do normal daily activities are severely affected, possibly leading to inactivity, and depression which could lead to psychological problems. Once the psychological problems worsen, there will also be a worsening of the pain and the only solution under such circumstances will be to try a program to manage chronic back pain that will help in reducing the suffering, and perhaps can even eliminate the pain.

The aim of any chronic pain management program is to relieve pain and improve your quality of life. The primary goals in the program are to assess, understand and treat your pain condition. Programs to manage chronic pain can be an extremely complex and frustrating experience for both the patient as well as their healthcare provider. There are two ways that chronic back pain management programs can provide relief–invasive means and non-invasive means, both of which work to give relief from chronic pain. No matter what method you use to get relief from chronic back pain, it will take time to work.

Chronic back pain management can be accomplished with drugs (over the counter and/or prescription), exercise and products developed specifically for helping people deal and live with back pain. Those in treatment programs to manage pain may also experience tolerance, when the effectiveness of a drug levels out in the body requiring taking higher doses of the drug to achieve the same relief. Addiction to a drug used for management of pain can happen. This is just one of the reasons that you need to be in a program managed by professionals. Chronic pain management not only includes prescription drugs and surgery, but also alternative treatments such as acupuncture, chiropractic care, and diet and exercise. Management of pain can also include spinal adjustments that gradually relieve pressure between bones, on cartilage, and nerves.

Management of pain can have physical and emotional benefits. The research on people undergoing pain management is very clear; the people who learn to effectively manage their pain are those who become actively involved in their own treatment.

Find Pain Management For Your Multiple Sclerosis That Works For You

As many as 60% of those diagnosed with Multiple Sclerosis, also known as MS, will experience some level of pain at some point and no two people will experience the same type of pain. Some experience acute pain and others have chronic pain. Their pain can be headaches or they may have neuropathic that is unrelated to their nervous system.

Each person with this Multiple Sclerosis has a different level of severity with their pain on a daily basis. And for those who suffer from the disease, their first job every day is to fight that pain in any manner they can.

And while there are many types of medications that can help, most people with this disease are looking for a non-medication pain management approach. The good news here is that this is possible now. But first, one must understand more about the disease and the pain that comes with it.

How Multiple Sclerosis Pain Can Affect Your Life

The pain that people with this disease will have sleep problems, they have mood swings and lose energy. They have trouble functioning physically and this affects their enjoyment of life.

The person with this disease experiences not only pain but anxiety, depression, fatigue and this all creates stress for them. They are unable to do daily activities as simple as cleaning, hobbies or going to work.

How Can A Multiple Sclerosis Patient Find Pain Management?

The first step in finding help with their pain, a patient with this disease should talk with your general healthcare provider. You need to be completely honest with how much pain you’re having and how it is affecting your daily life. Be open-minded to the options your healthcare provider suggests for pain management and ask questions.

Utilize the internet for more resources to gain as much knowledge and information as you can about your disease and the various ways pain is being managed today, with and without medication.

Typical Pain Management for Multiple Sclerosis

There are many different treatments today that are available for effectively managing pain associated with the disease. Sometimes it is using multiple ways. Here we list a few of the most common types of pain management.


While you should always listen to and rely on your healthcare provider, the most important person involved in managing your Multiple Sclerosis pain is you. Only you will know the pain you experience day-to-day and thus, it is important to practice self-management of your pain. Self-management is tracking your pain and noting the different strategies you use for pain management then keeping track of your progress.

Behavioral Treatment

It has been discovered through research of diseases and illnesses that pain can be managed with behavioral treatment and skills. While it has not be exclusively proven that these same treatments are helpful, there is a strong belief that it could be beneficial.

Physical Treatment

Physical treatment for Multiple Sclerosis pain management would include maintaining a regular exercise routine, acupuncture, and massage therapy. Before trying any of these, it is recommended to consult with your healthcare provider first and then follow their recommendations accordingly.


For the pain caused from Multiple Sclerosis to be treated effectively, it is necessary for the specific cause to be determined first. If your pain is neuropathic pain, your healthcare provider may treat it with an anticonvulsant medication. The pain from this disease is often treated with OTC medications as well as prescription pain relievers.