Professional Advice - Advanced Pain Care
TreatmentsOur team of qualified professionals has received advanced training to treat our patients. We believe in providing a caring and compassionate atmosphere to help improve the quality of life for those in pain.
Options to treat chronic pain may include one of the following:
Implantable Morphine Pumps
Intrathecal drug delivery, also known as a pain pump, is a pain management therapy that delivers pain medication to the fluid around the spine. Because the medication is delivered directly to pain receptors, drug delivery therapy can offer significant pain control using a much smaller dose than oral medications. A pump (a small, round, battery- powered device that stores and delivers pain medication) is surgically placed in the abdomen. A thin tube, called a catheter, is inserted near the spine and connected to the pump. The doctor fills the pump with pain medication using a needle. The pump then sends the medication through the catheter to the spinal area where pain receptors are located. The area where the pain medication is delivered is called the intrathecal space.
The Physical Therapy Department focuses on the musculoskeletal needs of our patients. As team players, the spine specialist, physical therapist, and occupational therapist all work together with the patient and family members to aid in the patients recovery. The spine specialist determines the patients injury and type of surgery needed when necessary. Based on the medical evaluation, the spine specialist recommends physical therapy and occupational therapy when indicated. The physician provides the therapist with a prescription, including a diagnosis and recommendation of duration, frequency, and treatment. A rehabilitation program is devised based upon the therapists initial evaluation. A treatment plan is then designed to meet the patients specific goals, and the patient is progressed per the treatment protocols. The physical therapist designs a personalized exercise program to treat the patients injury or surgical procedure. The role of the therapist is to evaluate and manage a program designed to accomplish the goals set by both the patient and the therapist. Based on the patients evaluation and objective measurement, the type of treatment may include a muscle strengthening program, a flexibility and general conditioning program, or a pain management program. Treatment may include a specific exercise or rehabilitation program and modalities such as moist heat, paraffin, ultrasound, electrical stimulation, iontophoresis, ice, a home exercise program, or hands on, consisting of myofascial release, soft tissue massage, passive range of motion, or joint mobilization, as needed.
Pharmacologic treatment is the mainstay of pain therapy. Almost half of individuals who suffer from pain choose a nonprescription analgesic as their initial choice for pain relief. There are three basic categories of pain medications: non-opoids, opoids, and co-analgesics. Pain management physicians use these medications either separately or in combination to relieve patients pain. Some principles of analgesic therapy are drug specific. However, some general principles guide all pharmacologic treatment of pain. First, the pain specialist will identify and treat the underlying cause of the pain. However, pain management can begin before the source of the pain is determined. Second, the doctor will select the simplest approach to pain management. Although invasive methods are sometimes required, most pain can be relieved via simple methods. Cost of treatment is also a consideration in some cases. Third, the pain doctor will select an appropriate drug. Individualization of a pain management regimen begins with selection of an appropriate drug. Factors that guide this process include a check for accumulation of toxic metabolites, potential for addiction, as patient factors (e.g., age, coexisting diseases, other medications, preferences, response to previous treatments). Finally, the pain care team will establish a management plan, which may include the later addition of other drugs.
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