Pain Treatment Miami FL
Pain Treatment Methods
With cancer pain, experts say that they have the tools to control the pain, but many times these are not used, due to patient and practitioner fears of addiction, lack of special training in pain among physicians, and the need for a multidisciplinary approach which cuts across medical boundaries.
Multidisciplinary or “interdisciplinary” pain centers often see patients with chronic pain only after they have endured several years of pain, failed surgery and left work—in many cases on compensation. Patients whose low-back pain persists for more than eight weeks are at high risk of developing a chronic condition.
Procedures used to treat chronic pain patients:
Traditional Methods
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At-Home PCA
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Botox (Botulinum toxin) Injections
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Implanted Pumps & Spinal Cord Manipulators
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Multidisciplinary Pain Management Programs
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Nerve Blocks
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Pain Clinics
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Pain Medications
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Physical Therapy
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Psychotherapy
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Saline Injections
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Spinal Cord Stimulation
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TENS (Transcutaneous Electrical Nerve Stimulation)
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Trigger Point Injections
Alternative Methods
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Acupuncture
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Biofeedback Services
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Brain Stimulation
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Hanna Somatic Education & Exercise
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Herbal Remedies
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Magnetic Therapy
Typical Goals of A Pain Treatment Program…
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Reduce patient's level of pain, achieve effective use of pain control techniques, when possible.
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Resolve/lessen psychosocial and family problems resulting from chronic pain.
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Eliminate/reduce usage of medication and substance abuse associated with chronic pain.
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Involve patient in a physical reconditioning program, providing instruction in postural control, appropriate body mechanics, work simplification and stress management.
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Obtain surgery when appropriate.
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Help patient set realistic lifestyle and job-related goals.
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Reduce patient's feelings of being alone and being depressed.
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Develop and follow a discharge plan for the patient.
Inpatient vs. Outpatient Programs…
Inpatient programs are longer in duration, and much more expensive. Marketdata's proprietary November-December 1994 survey of pain clinic directors found an average cost of $12,416 for an inpatient treatment program, compared to $8,100 for an ...
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Trigger Point Injections
Trigger point or field block injections. Trigger points are areas where muscles and surrounding fibrous (fascial) tissue are sensitive to touch. Trigger points are generally in your upper and lower back muscles, but they may occur elsewhere. Trigger point injections are used when muscles are sensitive to touch and are the source of pain. Depending on the medication used, trigger point injections can reduce pain in the muscle, reduce inflammation or relax a muscle. In this procedure, an anesthetic is injected into specific areas in the back that are painful when the doctor applies pressure to them. Some doctors add a steroid medication to the injection. Although the injections are commonly used, researchers have found that injecting anesthetics and/or steroids into trigger points provides no more relief than "dry needling," or inserting a needle and not injecting a medication. A physician may inject the muscle with a preparation of local anesthetic and corticosteroid. This may reduce pain and promote increased movement. The local anesthetic initially numbs the area to reduce pain while the corticosteroid reduces inflammation. The corticosteroid begins working in 3 to 4 days and may provide long-term reduction of inflammation and pain. Sometimes an anesthetic alone is used if there is little or no inflammation and the goal is to relax the muscle for more effective stretching. ∗... |
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