Pain Management....?

Question

I hear people talk about pain management doctors.
Is it like therepy? How do they help with the pain?

Just wondering.

Thanks

Answer 1

Pain Management docs are not just anesthetists. Mine is also a neurologist. They also do more than just put in morphine pumps. They can come from several specialties like neurology, anesthesiology, internal medicine, etc. and get specialized training in pain and modalities to treat it. They use pharmacological therapy (drugs), nerve block injections, support groups, surgery, TENS units, massage, and many, many, many more types of treatments. You see the doctor once a month, during which time he will refill your prescriptions (many use narcotics and most use a long acting med like Oxycontin along with a short acting med like Oxy IR for breakthrough pain) and adjust your dosages if your medication has stopped helping your pain adequately. You are also required to randomly bring in your bottles of medication for pill counts to ensure you are properly taking your medication and take random urine drug tests that test for specific substances like Oxycodone, Morphine, etc... as oposed to a regular urine drug test that just tests for the presence of opiates in general. They treat with a variety of medications, not just Methadone (I take Oxycontin, for example). People who come to pain clinics can have chronic pain for any number of reasons. Cancer is one of the main ones, but most Pain Management clinics treat intractable (can't be cured) non- cancer pain, because cancer patients usually have their pain managed by their oncologists. I am in pain management for pelvic congestion. My husband goes for knee problems. Others go for post-amputation phantom limb pain, back problems, or any other type of intractable pain that doctors cannot find a cause for and/or that people have been advised that they should "learn to live with". No one has to live with chronic pain. These doctors can help. I couldn't even get out of bed because of my pain this time last year, but now I have a full, wonderful life.

Answer 2

I guess one question I have is what caused this issue to begin with. At your age it is very unusual to have tendonitis that to this degree. Do you do something that requires repetative motion.? The first thing I would do is to start wearing braces when you are at rest and especially when you sleep. The routine that I used for my tendonitis was to use IcyHot and massage it in completely, then used my braces that also kept my thumb at the correct angle (according to my Physical therapist). Then would use my Rice Pack first heated for warmth and then would use the packs cold. The braces can be bought at Walmart, and the physio should be able to set the angle correctly. Some one else suggested you get a second opinion and I agree. The issue is that the DR. has said nothing about the braces and that is the first thing most of them go to. Also have you tried muscle relaxers like Robaxin? And one thing my dr did was to use Lidocaine injections which does not leave the scaring taht coritisone tends to do.. Also I did not find the injections unbearable, painful but they did give me weeks of relaxing time off from the pain. The thing with pain pills is you do not want the pain to be completely gone because you may be doing something to aggravate the injury. Again I am very curious as to if you have any idea what caused the injuries. If you would care to chat some more about this, my email and IM are on my profile page. God Bless ReggieR The pain medication in of itself is not that big of an issue as long as that is not the only thing being done at your age.

Answer 3

A pain management specialist is a doctor who has training to treat chronic pain conditions. Chronic pain is a general term that describes a variety of symptoms, including cancer pain, neuropathic pain, back and neck conditions, etc.
There is a range of treatments available for chronic pain. They range from well-researched to experimental. Various medications (pain-killers, anti-depressants, anti-seizure medications, and many others) can be effective for treating chronic pain. Certain implantable devices (intrathecal pumps and spinal cord stimulators) have some shown encouraging results in some patients. Further, there are injections (epidural and other types) and nerve ablation treatments that can be used for specific diagnoses.
It's also important to realize that pain has an important cognitive aspect. Most chronic pain patients need therapy, with a psychologist and/or psychiatrist, so they can develop appropriate coping mechanisms and improve their overall functioning. As such, pain management program often include psychotherapy geared toward these goals, physical therapy, and other modalities (acupuncture, biofeedback, etc).

Answer 4

There are ways to manage chronic pain that isn t just traditional pain killers. For example, Theramine is prescribed by physicians to manage pain and inflammation. It works by delivering nutrients and amino acids into cells. Look it up.

Answer 5

Pain clinics are directed by physicians who are anesthetist. They are the doctors who put you to sleep in surgery. They also specialize in pain control issues and are very good at it.
Many patients who see these kind of doctors have chronic pain issues caused by everything from disk problems to chronic pancreatitis. These patients usually need above and beyond a simple pain pill.
The physicians insert morphine pumps under the skin. They treat patients with chronic pain with methadone which is used for long term chronic pain (same thing Nicole Smith was on)
They determine if a pt would benefit from a neurostimulator, or using massage or physical therapy to relieve long term pain. They inject steroids into the spinal area to relieve pain. They just cover the whole gamit. It takes a lot of patience to be able to treat these chronic painers. These physicians are experts in pain control issues.
Hope that helps. Im a cancer RN.

Answer 6

Don't worry do some physical exercises or a brisk walking daily. You can also buy pain o soma 350 mg Online from yourmeds247

Answer 7

Pain management basically means intake of right medication for patients suffering from arthritis,neuropathic pain, cancer pain or injury pain.

Answer 8

I actually make an ointment for physical pain. Mental pain and deeper internal pain need to have more Tryptpophan, as it will help invaluably with pain as well. 5HTP or Tryptophan are excellent source of pain relief depending on where the pain is. Certain companies make a lot of money off of trying to help people with pain relief.

Answer 9

He has training and prescribe painkillers, exercises, advice, physical therapy, or joint injections. If blood tests are negative, you might want to see a doctor about possible sports injuries =, overuse injuries, osteoarthritis, or even fibromyalgia. These guys are specialists and are usually compassionate.

Answer 10

Try going through this for all your questions: http://www.drpferraro.com/bergen_county_nj_pain_management.php