Pain Management FAQs
What is Pain Management?
Pain Management is
the act, manner or practice of managing pain, handling or control of an
unpleasant sensation occurring in varying degrees of severity as a consequence
of injury, disease, or emotional disorder. Treatment for chronic pain is
best understood and accomplished by a physician specializing in pain management.
What Is A Pain Management Facility?
It is a facility that
specialized in the diagnosis and treatment of pain problems under the direction
of a Medical Doctor. A comprehensive history of the pain problem is taken
and a complete physical examination is carried out. Any available previous
medical records are reviewed and a description of your pain problem is
analyzed. Additional studies, such as X-rays, MRI, CT-scan or laboratory
work may be ordered to assist in diagnosing the cause of the pain. A treatment
plan is then established that is best for your type of pain.
Modern medicine is rapidly
advancing. There are many types of treatments available. Pain differs from
person to person, so a treatment plan is designed to each individual’s
needs. Treatment can include a single approach or a combination of medications,
therapies and/or procedures
Chronic Pain
Pain is universal and complex
and usually protective mechanisms, which signals a response, such as removing
a finger from a hot stove. Pain has plagued mankind since our beginnings
(The History of Pain Practice). Pain, is also a response to injury, such
as acute sprain, toothache or headache. Chronic pain is pain that lingers
after the normal healing process is complete. Usually pain that last longer
than six weeks is considered chronic pain. There are many causes of chronic
pain; some are due to injury or damage to nerve fibers (neuropathic pain);
some due to diseases, shingles (Herpes Zoster), diabetes; some due to trauma,
such as injury, surgery, or amputation; it can also occur without disease
or a known injury. This can happen in part, because the nervous system,
which sends messages, can undergo rewiring and short circuits, which can
obscure the initial or underlying cause of the pain. Chronic pain can range
from mild, to severe, to disabling and can last from a few weeks or months
to many years.
Usually emotional and psychological
components develop. These are sometimes significant and cause behavioral
changes in the individual including, sadness, anger, and depression. Over
time, a sense of helplessness to control the pain can lead to "pain behavior",
which can become habitual crutches, that can undermine your ability
to effectively manage the pain. Chronic pain can exact a toll on the individual,
the family, the work place, and the health care system.
Managing Pain
Millions of people world
wide seek treatment for chronic pain every year. On occasion certain medications,
nerve blocks or physical therapy can make a big difference, however, in
most cases a multiple-part approach to ending the downward spiral of chronic
pain is required. Reversing this spiral is now commonly referred to as
pain management. Pain management includes, not only medication, but also
a comprehensive plan of relaxation, exercise and behavioral change. There
is no magic bullet for relief of chronic pain. Managing pain is not about
making the pain disappear, it is about keeping pain tolerable and there
are several ways to accomplish this.
Keep a Pain Journal: Record
the various activities and therapies that reduce or alleviate your pain.
A journal also helps track the ebb and flow of pain, so you are aware of
them and know when the pain worsens and how to ease it.
Get Started on an Exercise
Program: Exercise improves overall fitness, increases strength and
flexibility and can reduce the risk of further injury and helps control
pain.
Balance Your Life:
Find a healthful balance of activities, which should include work time,
exercise, recreation, hobbies, relaxation, rest and socialization with
family and friends. This balance can ease pain and elevate your mood.
Medications: All medications
have side effects and there are toxic risks with all medication. So which
medication to use and when to use one for chronic pain is very complex.
Complementary Medicine:
Unconventional therapies used (yoga or Tai Chi), which promote physical
strengthening are safe and sensible when combined with exercise, diet and
treatments prescribed by your doctor.
Alternative Medicine:
This therapy is used instead of, or in conjunction with, traditional medical
care, including homeopathic or naturopathic practitioners. The Food and
Drug Administration do, not regulate herbal medications, while they may
be beneficial; they may also be toxic and may interfere with prescription
medication. Take with care.
Some Tips to Help in Managing Chronic
Pain
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Write yourself a contract: Pledge
to yourself that you are committed to managing your pain.
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Keep your home environment healthful:
Remove all items from your home that might lure you into unhealthy habits.
Your home should reflect your positive active attitude.
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Set goals for pain management:
Set specific goals to address your greatest pain problems.
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Monitor your progress: Prepare
some type visual aid or chart to display your progress.
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Accept support: Support of family,
friends and physician will help you keep going on track on difficult days.
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Team up with your doctor: Your
doctor can work with you to overcome obstacles, keep him/her posted on
your progress.
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Plan each day: Schedule your
exercise, relaxation, rest, and work. Make a list of things to do in order
to accomplish your goals.
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Stay positive: Think that you
will control the pain. Keep your spirits up, this will help to maintain
your ability to overcome and manage pain.
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Reward yourself: If you treat
yourself to something enjoyable when you reach a goal, it will reinforce
a positive attitude.
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