What is the difference between acute and chronic pain?
Acute pain is pain of a short, limited duration which is usually
the result of an injury, surgery or medical illness. Acute pain
typically goes away within the normal healing process. Chronic
pain continues for longer periods of time, and can be associated
with frustration, depression and anxiety. Treatments for acute
and chronic pain often differ greatly.
What
is interventional pain management?
Interventional pain management is the discipline of medicine
devoted to the diagnosis and treatment of pain related disorders
with the application of interventional techniques in managing
subactue, chronic, persistent and intractable pain, independently
or in conjunction with other modalities.
What are interventional pain management
techniques?
Interventional pain management techniques are minimally invasive
procedures including, perctuaneous precision needle placement,
with placement of drugs in targeted areas or ablation of targeted
nerves; and some surgical techniques such as laser or endoscopic
diskectomy, intrathecal infusion pumps and spinal cord stimulators.
Who
are doctors specializing in pain management?
Pain specialists come from various primary specialties with
advanced training and expertise. They are mainly anesthesiologists,
physical medicine & rehabilitation specialists and neurologists.
However, they may include orthopedic surgeons and interventional
radiologists with the proper training.
Can
interventional pain management physicians find the cause of
my pain?
While your pain specialist can not guarantee that they will
be able to find the underlying cause of your pain, they are
highly trained in the methods that would allow them to do so.
They conduct a thorough physical examination, review your medical
records and analyze the description of your pain. Many doctors
review additional diagnostic studies such as x-rays, CT scans,
MRI's, nerve conductions studies and detailed history and physical
exam.
What
medications are most commonly used to manage pain?
While drug therapies differ for each person, the most common
are: Adjuvant
pain medications, including: antidepressants, anticonvulsants
and muscle relaxors. Opiates or "pain killers" used
to treat acute pain or cancer-related pain, and often prescribed
for chronic pain.
Anti-inflammatory
drugs to alleviate pain by reducing swelling and irritation.
There are alternative delivery methods for medications. Common
methods used at the office are oral medications, topical creams,
sublingual medicines, nasal sprays, injections and patches.
Why
do I need a referral?
A. referral is required for several reasons. The most important,
however is to provide the evaluating pain management physician
with all relevant history and data so that the consultation
is productive and focused on the patient and his/her pain problem.