What is a pain clinic? Also called pain management clinics, these health care facilities focus on the diagnosis and management of chronic pain. There are two kinds. One focuses on procedures to deal with specific types of pain, like neck and back pain.
What do they do at Pain Management Clinics? Pain Clinics: What to know Pain clinics are places where patients can get their pain diagnosed and managed. Therefore, they are also called pain management clinics. A doctor in a hospital can refer a patient to a pain management clinic when he feels that conventional treatment is not helping the patient who is in chronic pain.
These clinics can be especially helpful for these people. They often work by either treating a particular type of pain or whole-body pain in general, as well as providing physical, behavioral and psychological therapies. Another purpose of the clinic is to educate the patients about their pain. Professionals teach how to avoid worsening your pain by avoiding damaging behaviors.
Counseling is among the most important services offered. If the patient avoids activities that cause pain, like carrying heavy things, eating the wrong kind of food or just poor posture, he or she will not have to go through with pain. Once pain is lowered, the quality of life (QoL) of patients can be enhanced and patients can go back to doing their everyday tasks without inconvenience.
The clinic has a team of professionals to cater to the patients’ needs and may include doctors, nurses, psychologists, physical therapists, nutritionists, and dietitians. In addition, patients are also offered alternative medical treatments like acupuncture, biofeedback, cognitive behavioral therapy, water therapy, massage, and meditation.
One can not stress enough on how stress can maximize pain. Constantly having your mind fleet to worrying thoughts can take a toll on your physical as well as mental health. This is why it is important that the mind be clear of negativity and the forehead remains crease-free.
- Meditation, massage, and acupuncture help patients relax and release all the tension and negative energy from inside them.
- Once their shoulders are lighter, a positive impact on their lives will be visible in the shape of better health.
- Physical therapy is another option for managing pain.
- A physical therapist is a professional who knows how to ensure smooth body movements.
He helps the patient exercise their body in such a way that cramps, sprains, and strains can be decreased in intensity. Synchronized and calculated movements of different joints and activation of muscles rekindle flexibility and mobility. Prior disuse atrophy is made to be reversed and the patient feels revitalized.
For immediate pain relief, patients are also prescribed different tonics, herbal teas, pain-relieving creams, lotions, and even oral medication. Over the counter, (OTC) analgesics like paracetamol or ibuprofen are given as the first line of treatment for immediate relief. If the pain is beyond the threshold, intravenous analgesics may be given like tramadol, ketamine, et cetera.
It is, however, necessary to remember to not to take strong painkillers as the patient might develop dependency and tolerance. Opioids are especially a very risky medication and should be used as the last option as they have the maximum potential for developing strong dependence in the patient, which can even lead to a full-on addiction.
- 0.1 What is a pain clinic?
- 0.2 Is pain management a specialized area of healthcare?
- 1 Do Pain Clinics help with inflammation?
- 2 What does a pain management physician do?
What is a pain clinic?
What Is a Pain Clinic? Millions of Canadians live with moderate to severe chronic pain. According to several large population-based surveys, an estimated one in five Canadians lives with chronic pain. If pain is regular part of your life, a pain clinic may be able to help you.
Pain doctors. Nurses. Physiotherapists. Psychotherapists. Occupational therapists. Nutritionists and dietitians.
The goal of pain management is to improve the quality of life for the patient through:
Conventional pain medication. Physiotherapy. Psychotherapy. Alternative therapies
Biofeedback. Acupuncture. Massage. Meditation and mindfulness. Water therapy.
For more details on how to relieve or treat chronic pain, you can reach out to one of our pain specialists at any of our pain care clinic locations. We establish a caring relationship and provide patients with pain relief when needed the most. today at 289-724-6109 to educate yourself more and start an exercise regime appropriate and beneficial for relieving your chronic pain condition.
Is pain management a specialized area of healthcare?
What is a pain clinic? – A pain management doctor operates most often out of pain clinics. Pain clinics differ in their approach, but the best ones will coordinate a comprehensive, team-based, and holistic approach to managing and treating your pain. This team approach is the best way to diagnose the cause of your pain and find treatments that work.
Chiropractors Interventional pain management doctors Health and wellness counselors Biofeedback specialists
The best pain clinics will also combine a warm, caring approach with access to the most advanced cutting-edge treatment options for pain.
What can I expect at a pain management clinic?
Goals of Pain Management – While some types of pain can be chronic, such as headaches, and others acute, such as from surgery, the field of pain management treats all of it as a disease. This allows for the application of science, and the latest advances in medicine to relieve your pain.
- We now have many modalities, including medication, interventional pain management techniques (nerve blocks, spinal cord stimulators, and similar treatments), along with physical therapy and alternative medicine to help reduce the pain,” says Yonan.
- The goal of pain management is to minimize pain, rather than eliminate it.
This is because quite often it is not possible to completely do away with it. Two other goals are to improve function and increase the quality of life. These three goals go hand-in-hand. As a first-time patient in a pain management clinic, you might experience the following:
Evaluation. Diagnostic tests, if necessary, as determined in the evaluation. Referral to a surgeon, if indicated by the tests and evaluation. Interventional treatment, such as injections or spinal cord stimulation, Physical therapy to increase range of motion and strength, and to prepare you to go back to work. Psychiatry to deal with depression, anxiety, and/or other issues that may accompany your chronic pain. Alternative medicine to provide a complement to your other treatments.
Back and neck pain sufferers who do best with a pain management program, says Yonan, are those who have had multiple back surgeries, including failed surgeries, and are still in pain, those with neuropathy, and those for whom it has been determined that surgery would not benefit their condition.
“People who have become addicted to pain medication actually need more sophisticated help than what a pain management program can offer them. A chronic pain rehab program is a better choice for these people,” he says. According to Pain Physician, results from research studies on pain management are not always applicable to the problems patients come in with to the clinics on a day-to-day basis.
Unfortunately, this has a negative effect on insurance reimbursement and other payment arrangements, as well as standardization of this medical specialty. “Better understanding of pain syndromes by communities and insurance companies and more studies on pain will help increase insurance coverage for pain management treatments.
- In the future, the use of technology will help improve the outcomes of interventional pain management techniques,” Yonan says.
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James N. Dillard, MD., DC. CAc. The Chronic Pain Solution: Your Personal Path to Pain Relief Bantam Dell a division of Random House New York 2003. Manchikanti, L. MD, Mark V. Boswell, M. MD, PhD., James Giordano, J. PhD. Pain Physician 2007; 10:329-356. Phone Interview. Dr. Sameh Yonan, MD, Pain Management Specialist at Hillcrest, Willoughby and South Pointe Pain Centers at Cleveland Clinic Health System.
By Anne Asher, CPT Anne Asher, ACE-certified personal trainer, health coach, and orthopedic exercise specialist, is a back and neck pain expert. Thanks for your feedback!
Do Pain Clinics help with inflammation?
Is a Pain Clinic Right for You? – Chronic arthritis pain can disrupt every aspect of life – from work performance and daily chores, to getting quality rest and even personal relationships. If you can’t get your pain under control despite treatment and healthy lifestyle habits, you may want to consider attending a pain rehabilitation program (PRP).
- What is a pain clinic? While pain clinics can help anyone with chronic pain, people with inflammatory types of arthritis and fibromyalgia may benefit the most from PRPs, says Daniel Clauw, MD, professor of anesthesiology at the University of Michigan.
- There are two main types of pain clinics.
- Interdisciplinary Clinics : Are one-stop shops where a team of health professionals works together to help patients by using a variety of evidence-based approaches.
Programs that utilize an interdisciplinary approach are best, says Clauw, and may include physical and occupational therapists, psychologists, dietitians, nurses, doctors and other healthcare providers. Block Clinics: Offer procedures such as injections and nerve blocks.
- These procedures are usually performed by an anesthesiologist, most often for specific problems such as low back or neck pain.
- But unless your doctor refers you to this type of provider, Clauw advises against block clinics.
- What to Expect A quick fix is not the goal – neither is the total elimination of pain.
Rather, clinics aim to restore function and improve quality of life by teaching physical, emotional and mental coping skills to manage pain. Patients typically attend sessions all or most of the day for several weeks as an outpatient. Other programs may last longer but occur on a part-time basis.
An hour of physical therapy (PT), which focuses on improving movement.
An hour of occupational therapy (OT), which focuses on improving the ability to perform daily activities. Several hours of pain education classes that teach how chronic pain works. An hour of relaxation and mind/body therapy.
Other Pain Management Techniques Patients also learn other techniques to manage pain, including guided imagery, breath training and relaxation techniques. Clinics may also provide cognitive behavioral therapy, which teaches problem-solving skills and helps patients break the cycle of pain, stress and depression by reshaping their mental responses to pain.
- This type of therapy may be particularly helpful for people with fibromyalgia.
- Attending a pain clinic also provides support and validation that comes from being around people who’re facing similar pain challenges.
- Additionally, PRPs may educate family members about pain and the best ways to support their loved ones as they manage its effects.
What about medication? Medication isn’t automatically a part of a treatment plan. In fact, some PRPs require that patients agree to taper off opioids. “Pain medicine in a chronic pain patient can actually make pain worse,” says Jeannie Sperry, PhD, co-chair of addictions, transplant and pain at Mayo School of Medicine in Rochester, Minnesota.
“It makes the brain more sensitive to pain, so people experience higher and higher levels.” Some clinics also taper patients off sleep and anxiety medications and muscle relaxants. Many patients start taking these medications to treat the side effects of opioids, like sleep disruption, sedation, agitation, nausea and sex problems.
But when patients taper off opioids, the need for other medications may diminish. Movement is key Movement helps reduce pain, so getting people physically active is one of the main goals of pain clinics. Staying active is especially critical for people with arthritis, says Clauw.
“If they don’t keep moving their joints, they can develop contractures, the shortening and hardening of muscle and other tissues, which limit the range of motion,” he says. In addition to teaching patients about the benefits of exercise, regular PT and OT sessions at PRPs can help tremendously with pain and functional improvement.
Finding a clinic The best PRPs tend to be associated with academic medical centers, such as those at Mayo Clinic, Cleveland Clinic and Johns Hopkins, says Sperry. They can tell you the outcomes of their programs and typically have providers associated with research institutions.
- To find a clinic near you, see if your state has a branch of the American Chronic Pain Association, which may provide leads.
- The American Pain Society has a list on its website of “clinic centers” that have won awards from the society.
- The results that come from attending a pain clinic typically last.
Sperry’s clinic measures patients when they come in, when they leave, and six months later. These patients continue to have significant improvement in mood, quality of life and physical outcomes, she says.
What to expect at the pain management clinic?
The first visit to a pain management clinic usually involves an appointment with a general practitioner, internist, nurse practitioner or medical assistant. The visit typically involves a detailed evaluation of the individual’s pain history, a physical exam, pain assessment, and diagnostic tests.
What does a pain management physician do?
What Does a Pain Management Physician Do? Pain management physicians are medical doctors who diagnose and coordinate treatment while providing care for patients who are experiencing pain.
What can a pain clinic do for my Pain?
Pain clinics offer a wide range of treatments and support. They aim to support you in developing self-help skills to control and relieve your pain. Some people receiving treatment at a pain clinic may be offered a pain management programme (PMP). The aim of a PMP is to improve your quality of life, despite your pain, rather than reducing your pain.
What can a pain management specialist do for me?
What Should I Look For? – Look for a clinic with a specialist who knows about your kind of pain. Ask if the doctor has had special training and is board certified in pain management. As with other doctors, you should also try to find someone you feel comfortable with.