Pain Management

Pain Management

Medications are very commonly prescribed for pain. Many of the patients we see at Elite Pain Management are taking a variety of medications when we first meet them. Often, our patients have found that some methods work better than others, or not at all. As specialists in the field of pain, the doctors at Elite Pain Management can advise medication usage and establish an effective course of therapy.

We will work with you to establish sensible goals, not only to reduce pain, but also to improve sleep, activity of daily living, and quality of life.

What is Pain?

Different people describe pain in different ways. It is your body’s way of sending a warning signal to your brain “that something is wrong”. Most of the time it is temporary, needs no treatment, and the body heals itself. However, pain can become chronic and the underlying cause of the pain needs to be addressed. Pain may be associated with illness or surgery and may not be able to be totally relieved; however, we want to help lessen the discomfort you are experiencing to a level that allows you to resume your daily routine, return to work, and optimize your social and family relationships.

Our Approach to Treating Your Pain

At Elite Pain Management we understand that in order to correctly treat your pain we must first identify the cause. We begin this process by obtaining a detailed history, which provides many clues as to the specific origin of your pain. The location, aggravating and alleviating factors, and characteristics of your pain help the provider form a short list of possible causes to your condition. Next, a thorough physical examination is performed, specifically focusing on the areas most affected by your pain. After pertinent information is gathered from the physical examination, the results of radiologic and other exams are reviewed. Together these essential elements of your history, physical exam, and studies (MRI, X-rays, etc) provide the physician with the necessary information to determine the cause of your pain.

Now that we know the cause… What options can we explore to help relieve the pain? Each provider wants to solve the problem and help you regain your life, therefore we tackle your pain with a multidisciplinary approach. Specifically, Elite Pain Management focuses on the medical management of pain while arranging other modalities that will provide short and long term relief of your pain. These services may include physical therapy, chiropractic care, interventional pain management procedures, surgery, behavioral health therapy and other treatments.

Pain Management Medications

Wide varieties of pain management medications exist on today’s market. Some are simply the same drug under a separate brand. There are often many different preparations available as well. Despite this, the staple of mild to moderate pain relief remains non-steroidal anti-inflammatory drugs (NSAIDs). These are usually the primary medications most people are prescribed for pain and are generally effective when used as directed. They don’t work for all pain however, and other options may need to be explored.

In today’s world, pain medicine is often scrutinized. Although these medications can be the wrong choice for some, Elite Pain Management know that medical management of pain is an important and effective part of some patients’ path to regaining quality of life. We assess patients thoroughly, and discuss the pros and cons of these medications in-depth with the patients before prescribing. We utilize medications safely and responsibly, and use them in conjunction with other pain treatment approaches as part of a well-rounded, individualized treatment plan. Below you will find a description of each of the categories of pain medications used here at Elite Pain Management.

Opioids are a naturally occurring chemical in the body, but when a person is in severe or chronic pain, the body is unable to make enough of them to calm the system and reduce the pain. Opioid pain medications work by attaching to the opioid receptors in the brain, gastrointestinal tract, and throughout the body. When these medications attach to the receptors, they work by reducing the patient’s perception of pain.

Opioids are not the right medications for everyone, but they can bring immense relief too many chronic pain sufferers. Our doctors use opioids alone and in conjunction with a number of other medications and treatments as a part of an overall program to reduce your pain and return your quality of life. Like all of our treatments, your doctor will discuss in-depth with you, the pros and cons of using opioids.

Non-Steroidal Anti-Inflammatory Drugs or NSAIDs work by blocking and reducing the effects of prostaglandins throughout the body. Prostaglandins are a naturally occurring hormone in human cells. However, in certain situations, their overproduction plays a tremendous role in causing pain and inflammation. Prostaglandins are often overproduced in joint and muscle injuries, and conditions like bursitis, tendonitis, arthritis, Fibromyalgia, Dysmenorrhea (painful menstruation) and more. By causing inflammation, prostaglandins stimulate nerves and cause pain. They also sensitize spinal neurons to pain, and regulate smooth muscle constriction.

NSAIDs are not the right medications for everyone, but they can bring immense relief to many chronic pain sufferers. Our doctors use NSAIDs alone and in conjunction with a number of other medications and treatments as a part of an overall program to reduce your pain and return your quality of life. Like all of our treatments, your doctor will discuss in-depth with you, the pros and cons of using NSAIDs.

Muscle relaxants work by calming the central nervous system, to loosen muscle tension and alleviate muscle spasms and twitching, thereby reducing pain. They can effective for helping to relieve back pain, Multiple Sclerosis, Fibromyalgia, and many other pain conditions. Your doctor may use muscle relaxants alone or in conjunction with a number of other medications and treatments as part of your overall pain regimen.

Muscle Relaxants are not the right medications for everyone, but they can bring immense relief to many chronic pain sufferers.

Experts are unsure exactly how anticonvulsants work to reduce chronic pain. They may reduce chronic pain by blocking the flow of pain signals from the central nervous system. Anticonvulsants seem to work best when they are used for nerve pain such as postherpetic neuralgia, fibromyalgia, peripheral neuropathies, and radiculopathies.

Gabapentin helps about 3 to 4 out of 10 people who take it for nerve pain. Anticonvulsants can reduce some persistent low back pain. Pregabalin helps between 3 and 5 out of 10 people who take it for nerve pain, especially postherpetic neuralgia, diabetic peripheral neuropathy, and fibromyalgia.

OUR GOAL IS TO HELP YOU RETURN TO A PRODUCTIVE LIFE