What is Pain Management

Pain, in most of the cases is resolved by one or more practitioners when the underlying cause of the pain is treated. Mostly this occurs by means of drugs such as analgesics and in a few instances anxiolytics. For management of long term pain, this is accomplished by means of combined efforts of the various teams that are involved. Medicine is mostly used to treat injury and pathology related pains to cure suffering which is primarily caused due to treatment and thus healing. It is only when the concept of medical science cannot identify the source of the pain, medicines are employed, mostly analgesics, antidepressants and anticonvulsants, application of heat or ice and more.

Mostly palliative care doctors specialize in the field of pain management. However, quite a few of the practitioners are not certified by the American Board of Pain Medicine and thus do not possess a fellowship training. Nevertheless, the American Board of Anaesthesiology and Physical Medicine have a sub specialty in pain management and does not require a fellowship training. While a few medical practitioners focus towards the management of physical pain by means of analgesics, yet another group focuses towards identifying the root cause of the pain; on the other hand, quite a few are experts in the intervention strategies.

There are different modalities of treatment, when it comes to administering analgesics for pain in general. In fact, the WHO recommends a mode of therapy, referred to as the pain ladder, in the management of analgesia, and the usage of cancer pain. Nevertheless, it can also be used by various medical professionals, in the treatment of chronic or analgesic pain, be it benign or malignant. The exact dosage might vary depending on the location and the type of cancer, but if at any point of time, if the doctor and the patient feel that managing the pain might be a tedious process then they go ahead and proceed with the next step.

There are different types of pain that are usually developed; mild pain, mild to moderate and moderate to severe pain. Acute pain medication is generally recommended for patients who undergo a trauma at the instant. This is even administered to treat post operative pain and thus, chronic pain medication can also be used to treat a long-lasting pain in the body. When it comes to the point of treatment, morphine is generally the most recommended standard when compared to all the narcotics that are in vogue. Fentanyl is also used and is highly beneficial for the reason that it has low amounts of histamines and thus fewer side effects.

 Aside the above procedures, there are various other physical modes of treatment as well. Transcutaneous electrical never stimulation is one such means that helps in the treatment of lower back pain and acupuncture is another method that involves insertion of needles and manipulating the specific points in the body that help to release the pain. With all this and more, it is apt to say that pain management has become more effective these days than what it was a decade ago.


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