- Pain management
Pain management (also called pain medicine) is the medical discipline concerned with the relief of
Types of pain
Acute pain, such pain resulting from trauma, often has a reversible cause and may require only transient measures and correction of the underlying problem. In contrast, chronic painoften results from conditions that are difficult to diagnose and treat, and that may take a long time to reverse. Some examples include cancer, neuropathy, and referred pain. Often, pain pathways ( nociceptors) are set up that continue to transmit the sensation of pain even though the underlying condition or injury that originally caused pain has been healed. In such situations, the pain itself is frequently managed separately from the underlying condition of which it is a symptom, or the goal of treatment is to manage the pain with no treatment of any underlying condition (e.g. if the underlying condition has resolved or if no identifiable source of the pain can be found).
Pain management generally benefits from a
multidisciplinaryapproach that includes pharmacologic measures ( analgesicssuch as narcoticsor NSAIDs and pain modifiers such as tricyclic antidepressants or anticonvulsants), non-pharmacologic measures (such as interventional procedures, physical therapy and physical exercise, application of ice and/or heat), and psychologicalmeasures (such as biofeedbackand cognitive therapy). The World Health Organization(WHO) recommended a " pain ladder" for managing analgesia [ [http://www.who.int/cancer/palliative/painladder/en/ WHO | WHO's pain ladder ] ] which was first described for usage in cancer pain, but can be used by medical professionals as a general principle when dealing with analgesia for any type of pain.
Pain management practitioners come from all fields of medicine. Most often, pain fellowship trained physicians are anesthesiologists, neurologists, physiatrists or psychiatrists. Some practitioners focus more on the pharmacologic management of the patient, while others are very proficient at the interventional management of pain. Interventional procedures - typically used for chronic back pain - include: epidural steroid injections, facet joint injections, neurolytic blocks,
Spinal Cord Stimulators and intrathecaldrug delivery system implants, etc. Over the last several years the number of interventional procedures done for pain has grown to a very large number.
As well as medical practitioners, the area of pain management may often benefit from the input of
Physiotherapists, Chiropractors, Clinical Psychologistsand Occupational therapists, amongst others. Together the multidisciplinary team can help create a package of care suitable to the patient.One of the pain management modalities are trigger point injections and nerve blocks utilizing long acting anesthetics and small doses of steroids.
Because of the fast growth in the field of Pain Medicine many practitioners have entered the field. Unfortunately, many of these practitioners are not board certified or are certified by unrecognized boards. Patients should look for practitioners that have completed an ACGME approved fellowship and are board certified by either the ABA, ABPMR or the ABPN.
Transcutaneous Electrical Nerve Stimulator
Temporomandibular joint disorder
* [http://www.painedu.org/ Pain Management Resources: PainEdu]
Wikimedia Foundation. 2010.
Look at other dictionaries:
Pain management — The process of providing medical care that alleviates or reduces pain. Pain management is an extremely important part of health care, as patients forced to remain in severe pain often become agitated and/or depressed and have poorer treatment… … Medical dictionary
Pain Therapeutics, Inc — Pain Therapeutics, Inc. is a biopharmaceutical company, that engages in the research and development of drugs for use in pain management, primarily in the area of opioid painkillers in the United States. Its Phase III clinical trial products… … Wikipedia
Pain — This article is about physical pain. For pain in the broader sense, see Suffering. For other uses, see Pain (disambiguation). Pain A sports player in pain. ICD 10 R52 … Wikipedia
Pain Research & Management — Infobox Journal title = Pain Research Management editor = KD Craig discipline = Neurology, Psychophysiology language = English abbreviation = Pain Res Manag publisher = Pulsus Group country = Canada frequency = history = started in 1996… … Wikipedia
Pain ladder — The pain ladder is a term originally coined by the World Health Organisation (WHO) to describe a method of controlling pain [ [http://www.who.int/cancer/palliative/painladder/en/ WHO | WHO s pain ladder ] ] . It was originally described for the… … Wikipedia
Management of cancer — This article needs more medical references for verification. Please review the contents of the article and add the appropriate references if you can. Help may also be requested at Wikipedia:WikiProject Medicine. Please remove this message after… … Wikipedia
pain — /payn/, n. 1. physical suffering or distress, as due to injury, illness, etc. 2. a distressing sensation in a particular part of the body: a back pain. 3. mental or emotional suffering or torment: I am sorry my news causes you such pain. 4. pains … Universalium
Management of depression — Depression, for the purposes of this article, refers to the mental disorder known as major depressive disorder. This kind of depression is a recognized clinical condition and is becoming a common condition in developed countries, where up to 20%… … Wikipedia
Management (disambiguation) — Contents 1 Business 2 Computing 3 Entertainment 4 Medicine … Wikipedia
Pain tolerance — is the amount of pain that a person can withstand before breaking down emotionally and/or physically. Exposure to pain as tolerance booster It is widely believed that exposing yourself to painful stimuli will increase your pain tolerance i.e.… … Wikipedia