What would be The “right” goal while managing pain

goal to managing pain

It is quite natural that the primary aim of a pain management clinic will be the adoption of successful treatment strategies that will help reduce pain in patients. However, when looking deep, there seems to be a lot more involved in the way the patient responds to these treatment strategies and the after effects of such treatments.

Often, in case of patients suffering from chronic cases of pain, there is a much sinister underlying cause of this pain. Complex disorders and diseases could give rise to painful symptoms in these patients. However, if the focus is only on the reduction of these symptoms instead of addressing the real cause, it might end up in pain recurrence at a later stage or further aggravation of the source disease or disorder. Pain management strategies could involve medication or interventional therapies. Alternative therapies like chiropractic, acupuncture, physical therapy, etc., might also be adopted to treat pain in patients. However, when the doctor emphasizes mainly on the pain aspect of the disease and tries to reduce pain using one or more of the above mentioned therapies, the goal of pain reduction might be easily achieved but the risk of unknown side effects that worsen the underlying cause, remains. Thus, it is extremely important to administer pain treatments that are ‘customized’. An individual’s physical and mental health, lifestyle and profession are all important factors to be taken into account while designing pain management strategies. Besides reducing the pain, attention must be paid to the underlying cause and how the treatment strategy adopted can affect the cause should be estimated carefully. A multimodal therapy plan must be devised that attends to all the needs of the patient.

Besides addressing pain and its underlying cause, pain management must also be administered in a compassionate and caring manner. It is important to remember that most patients of pain are mentally disturbed due to the debilitating effects of a nagging pain on their life and lifestyle. Often chronic pain is associated with depression. Words of sympathy and a caring touch works wonders for such patients and this ‘humane touch’ must be integrated into the goals of managing pain.

Use of pain management drugs must be made extremely cautiously. Often, due to pressure from the patient’s behalf, physicians tend to administer stronger doses of medication to patients to relieve them of severe pain. However, even though immediately effective, these medications might have untold adverse side effects at a later stage. Such is the case with opioid pain medications. Often, improper and excessive use of these drugs have led to drug overuse and abuse in patients who were not known to be addicts. Opioid drugs like oxycodone is known for its effectivity to reduce pain and induce sleep but it is also associated with side effects like memory problems, constipation and tiredness.

Adoption of new scientific knowledge and techniques must also be an important goal when managing pain. Since pain management is based on personalized treatment strategies, knowledge of scientific advances helps the doctors to decide upon a treatment plan more effectively. As more and more research data is pouring in, it is becoming easier to personalize medical treatments according to individual needs. For example, a drug A might work well for younger patients with a back ache while drug B might be more effective with older patients. So, efficient doctors like the ones involved in pain management in San Diego, keep themselves updated with all such information which allows them to take better decisions while treating patients.

Sacroiliac Injections By Pain Management Doctors in San Diego

What are sacroiliac injections?

Sacroiliac injections are injections of steroids or other medications directly into the sacroiliac joint by a pain management doctor in San Diego. These joints can be found on either side of the tailbone, and they connect your tailbone to your pelvis.

What is the purpose of the sacroiliac injections?

These injections are designed to reduce inflammation or swelling in or around the sacroiliac joint space. This can help to reduce pain or any residual symptoms that inflammation may cause to your joint or any surrounding structures.

How long does this process take?

The actual injections take between five and ten minutes at a San Diego pain management clinic.

What is injected?

With the sacroiliac injections a mixture of local anesthetic and steroids are injected to reduce pain and to prolong the positive effects.

Is the process painful?

The sacroiliac injections is an injection performed by a pain management doctor in San Diego through the skin and the deeper tissue which causes some pain. Before the injection takes place the skin and the deeper tissue are numbed using a local anesthetic. This helps to alleviate the discomfort felt during the procedure. Some patients will receive sedation in addition to this to make the process easier. The procedure is conducted under a local anesthetic not a general anesthetic which means that you are not “out” during the process. Some patients opt for additional sedation, as mentioned above, and the amount provided is often contingent upon the tolerance levels of the patient.

How is the process performed?

The sacroiliac injections are conducted with the patient lying on their stomach at a San Diego pain management clinic. There is often an x-ray used to determine the correct placement for the needle but thinner patients may not need this. Patients who have IV sedation will be monitored using a blood pressure cuff, EKG, and blood oxygen monitoring device. The skin where the injection will take place is cleaned using an antiseptic and then numbed using an anesthetic. The injection needle will be placed appropriately and the injection carried out. After the process is complete the needle is removed and a covering applied to the area of injection.

What can be expected after the procedure?

After the sacroiliac injections you will feel no pain or little pain, but this is due to the anesthetic. This feeling will go away after a few hours. You may feel sore at the site of the injection for a day or two. This is because of the mechanical process used to place the needle. After the third day you will begin to notice pain relief.

You should have someone else drive you home following the procedure as the injection can cause temporary leg weakness. Any patient undergoing sedation for the sacroiliac injections is required to have a ride home. Patients are advised to have a day or two to relax after the procedure and ice can be applied to the injection site.
Unless you faced complications you can return to work the following day. The most common complication felt is soreness at the injection site. The medication should bring with it lasting effects for several days to several months. If the first injection is not effective, you may return for another in two weeks.

Top Knee Arthritis Treatment at San Diego Pain Clinic

Top Knee Arthritis Treatment In San Diego Pain Clinic

Arthritis is a known cause of knee pain. Arthritis is defined as an inflammation of one or more joints. The most common symptoms related to arthritis are pain, stiffness and swelling. There are various types of arthritis that can affect the knee joint; however, treatment may vary depending on the condition that causes these symptoms.
The most common is Osteoarthritis also known as wear and tear arthritis or degenerative joint disease. It is involves continuous wearing away of the cartilage in the joint. Once the cartilage is completely worn away, the bone become exposed, and the knee become very swollen and quite painful. This condition affects people as they age. The most common one being those who are overweight. Also, knee arthritis is said to be genetic meaning that it can be passed down the family tree.
Some other factors that may lead to knee arthritis include; torn cartilage, injuries to the knee as well as fractures to the bone around the joint.

What are the Symptoms of Knee Arthritis?

Symptoms of arthritis to progress gradually as the condition worsens but the conditions may become even worse due to minor injury or overuse. Some patients may experience prolonged episodes of mild systems, accompanied by sudden changes that may increase the severity of their symptoms. Generally, the pain develops gradually over time. Other common symptoms of knee arthritis are;
• Joints become stiff and swollen and the person experiences difficulty bending and straightening the knees.
• Vigorous activity may cause severe pain
• Severe pain may cause a feeling of weakness in the knee.
• Loose cartilage fragments and other tissues can interfere with the smooth motion of the joints.
• People with arthritis may experience increased joint pain with a rainy weather.

What are the Causes of Knee Arthritis?

There is no proven cause of knee arthritis specially Osteoarthritis. Though, studies have shown that aging and women are prone to being diagnosed with arthritis. The risk factors associated with knee arthritis include;
• Genetic where arthritis runs in the family
• Obesity
• Severe trauma which involves fractures and removal of the supporting cartilages of the knee.

What Tests show you have Knee Arthritis?

Pain Doctors San DiegoKnee arthritis can be diagnosed by a San Diego pain clinic by use of X-ray which can be taken with the patient standing up where it diagnoses the condition with great accuracy. The pain doctors San Diego will also need to take a thorough history when performing a physical examination.

What are the Treatment Options for Arthritis?

Treatment of arthritis should start with the basic steps at a San Diego pain clinic and proceed to the more severe and invasive state even to an extent of surgery. For those patients with mild arthritis, the arthritis can be managed with simple things like an ice rest-activity or joint injections.
When it comes to surgery cases, there are two kinds of joint replacement surgeries:
• Partial knee replacement
• Total knee replacement surgery can be done using a minimally invasive quadriceps sparing approach that helps to shorten the recovery and decrease the pain after surgery.
Other treatment that works well with knee arthritis include;
Weight Loss, physical therapy, walking aids, activity modification, anti-inflammatory medication as well as cortisone injections.
To learn more about treating knee arthritis, contact a pain doctors San Diego today.