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Compassionate Pain Management

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Compassionate Pain Management

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KNEE PAIN IN AN ELDERLY PERSON

Compassionate Pain Management

I started my clinic for the purpose of treating patient with addiction to pain killers. In fact, it is through treating patients with addiction to pain killers that I discovered the need to provide a compassionate pain management service for other patients who were dealing with real pain. These patients were being treated like “addicts” or their pain were not adequately treated.  In my clinic, the goal is to first listen to your special situation, determine and treat the underlying cause of your pain, and provide a treatment plan so that addiction to pain killers can be avoided.

Musculoskeletal (MSK) pain is the most common pain we experience. It’s that pain we deal with after exercise or a hard day at work. Fortunately, most of the MSK pain we encounter is short term (acute pain) and can be easily managed with non pharmacologic interventions such as rest, ice, compression, and self healing. Our body has an incredible ability to heal itself using inflammation, increased blood flow, and stem cell activation. While the body heals, we can use over the counter remedies to decrease our discomfort.

However, there are situations where the expected short course of pain extends and becomes chronic. Chronic musculoskeletal pain is a result of one of 3 things: damage from the repetitive strains on the system from your every day activities; acute trauma either surgery or a significant blow to an area of the body; disease that affects the muscles, ligaments, bones, and cartilage of the body or the body’s ability to heal.

Chronic musculoskeletal pain is difficult to treat because the pathology doesn’t always match the symptoms.  As a result, more often than not, you are treated as a criminal seeking narcotics or you are given narcotics for something that could be adequately managed with less medications.

At my clinic, I take a completely different approach.  As a sufferer of chronic pain myself, I know from personal experience that a person complaining of pain should be treated with dignity and compassion.  I first conduct a comprehensive history & physical.  You might be surprised to find yourself in my clinic for up to 2 hours to complete the evaluation.  From that point on, we progress to a stem cell joint preservation protocol or a pharmaceutical based protocol.

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Joint Stem Cell Preservation Protocol

This option is one that is often overlooked though medical science is in agreement that certain behaviors contribute to the increasing incidences of damaged joints (cartilage, ligaments, bones, and muscles) and that stem cells may provide a viable treatment option.  During our initial meeting, careful history and physical is conducted to identify the cause of your deteriorating joints and to prescribe behavioral changes to address this. In addition, stem cells or Platelet Rich Plasma is injected into the damaged tissue to encourage proper healing and preservation of function.

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Pharmaceutical Based Protocol

Many pathways exists in the body to transmit pain. Fortunately, our bodies were made with other pathways and chemicals (neurotransmitters) that help to inhibit those painful signals. Most prominent are GABA, NMDA receptors, serotonin, norepinephrine, glutamate, and substance P. To optimize your pain management, it is important that a slow titration of medicines that target these pathways be attempted, keeping in mind that less is best and patience will eventually help us find what is best for you.

If you want to have a different approach to your pain management, please give us a call to make an appointment (918) 518-1636.