Chronic Pain Management



What is Chronic Pain Management?

There are basically two types of pain. The first is General of Active pain. It is generally on the outside of the body, and usually caused by a fall, scrape or trauma as in a auto accident. The pain is treated with over the counter medicines such as Ibuprofen and Tylenol. This type of pain generally gets better in a few days.

The next type of pain is Chronic pain. This type of pain comes and goes over a long period of time and for some it may never go away. This type of pain generally needs more active and constant help from an experienced person.- it needs to be managed! In recent years Chronic Pain Management has become more popular.

Chronic pain generally is more internal and can be localized in one of the following areas:

Bone Pain- Some of the pain from bones may be temporary, such as from a fracture, break or a bruise. This pain usually responds to medication such as Ibuprofen.-However the pain from bone cancer, osteoporosis, osteomyelitis or arthritis can last a long time. This pain is a more gnawing, throbbing pain and needs to be managed by more powerful drugs and professional help.

Visceral Pain is the pain from internal organs. Some of the pain in the internal organs is easy to treat such as indigestion.

- Other pain in your internal organs can be more difficult to diagnose, more difficult to treat and may be a long term chronic pain. Examples would be infections of the pancreas or liver. Some require surgery and/or long term treatments along with chronic pain management.

Muscle Spasm - Muscle spasms or cramp, like a charley horse, can be very painful. Over the counter pain relievers may help but sometimes a muscle relaxant is needed.

Peripheral NeuropathyThis pain starts in the face, head, truck, legs, or extremities. It is generally caused by some type of “problem” with the nerves in that area.

- Infections, pinching, pressure, tissue damage, cancers can all cause irritation to the nerves.

-Two common diseases that cause Peripheral Neuropathy are diabetes and AIDS

-Nerve pain can feel like a painful "pins and needles" sensation. This type of pain is treated with anticonvulsants and antidepressants.

Circulatory problems can often cause chronic pain. Poor circulation is usually caused by use of tabacco, diabetes or autoimmune diseases like Lupus and rheumatoid arthritis. Treatment includes medications and/or surgery

Headaches There area many reasons for headaches. Inflammation of muscles, joints or surrounding nerves, There are several types headaches, they are – migraine, tension and cluster. Treatment depends of the type and the severity – often medicines are used.

Chronic Pain Management: The long term management of pain starts with your family doctor. He or she will be able to devise a plan to manage your pain. If need be, he may also recommend you to a Chronic Pain Specialist. Chronic Pain Centers are becoming more abundant and offer a wide range of pain therapy including message, physical, therapy, biofeed back, yoga and acupuncture.



Heating pads and cold packs used in Chronic Pain Management