Dr. Tina Ardon, family and integrative medicine physician at Mayo Clinic’s campus in Jacksonville, FL., shares more about pain and options for mitigating pain without drugs. She offers tips for reducing stress, how to address your stress triggers and options for how to cope with pain.
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http://lifeafterpain.com/LP/YT-Channel.html
The processes of chronic pain and anxiety are remarkably similar – when seen on an fMRI brain scan.
There’s a strong connection, and so certainly there are time when anxiety can cause chronic pain (and vice versa.)
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A world-first transitional pain program that aims to stop pain from becoming chronic after surgery is being pioneered at Toronto General Hospital, University Health Network.
The one-year pilot program is designed to treat complex pain patients who have had surgery by helping with pain control, monitoring and weaning patients off excessive amounts of opioid medications for pain, and providing much-needed support for patients after they are discharged from the hospital. Follow-up care is provided by a diverse team of clinicians who specialize in pain control. Program specialists are not aware of any other such program in scientific publications.
Poorly controlled postsurgical pain is a risk factor for hospital re-admission and increased use of health care resources.
The program, which began in June 2014, also hopes to answer compelling questions of which risk factors cause chronic pain, what works best to stop or modify the âpain pathwayâ for patients, and how interventions can prevent hospital re-admissions of complex patients after surgery.
âWe want to break the cycle of pain with multiple pain strategies,â says Dr. Hance Clarke, Medical Director of the Pain Research Unit and Director of The Transitional Pain Service in the Anesthesia Department and Pain Management at Toronto General Hospital (TGH). He adds that after about three months, post-surgical pain can develop into chronic pain, therefore it is important to intervene before this happens. As many as 30% of surgical patients develop chronic pain after surgery, and are at an increased risk for long-term opioid use. 50% of patients after major surgery are discharged from hospital with a prescription for opioids.
Challenging Hernias Postgraduate Course
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In this video, spine surgeon Michael Hasz, MD from StoneSprings Hospital Center explains why over-the-counter pain medications are an important part of managing post-operative pain.
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Pain after surgery is traditionally management using standardized âone-size-fits-allâ treatment protocols. Physicians generally select analgesic drugs and doses to treat surgical pain based on their own or institutional preference without extensive patient consultation or involvement. I will present a series of studies that we have conducted that challenges this paternalistic, standardized treatment approach. The feasibility and potential benefit of seeking input from patients regarding their personal preference for analgesic drugs and doses will be explored. Physicianâs role should be to only present evidence-based pain treatment options and their potential side effects. Patient input prior to surgery can facilitate individualized perioperative pain treatment protocols based on patientâs preferences, expectations and needs. I believe this patient-centered surgical pain treatment model needs to be replace the existing âone-size-fits-allâ model, and should be offered to all patients undergoing surgery.
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Speaker: Dr. Joel Katz, Professor, Canada Research Chair, Department of Psychology, Faculty of Health, York University
A little appreciated fact is that every chronic pain was, at one time, acute. And yet, not all acute pains become chronic. Regardless of the cause, the vast majority of people recover and do not go on to develop long-term pain. In the case of post-surgical pain, certain procedures are followed by an alarmingly high rate of long-term discomfort and pain. In this presentation, Dr. Katz will review the epidemiology of chronic post-surgical pain including its incidence/prevalence in children and adults, identify the risk and protective factors for the development and maintenance of chronic post-surgical pain (CPSP) and outline the rationale for preventive analgesia, an anesthetic approach to surgery that may reduce the likelihood of developing long-term pain after surgery. Research points to the severity of peri-operative pain as a risk factor for the development of CPSP. What must be determined is the aspect(s) of pain that is predictive and whether it is a causal risk factor. Is it something about the pain per se, or the individuals who report the pain? Will aggressive management of acute pain alter the course and decrease the incidence of chronic pain? This presentation will address these questions as they relate to the development of chronic post-surgical pain using a biopsychosocial framework.
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Chronic pain is often a result of an over-sensitized pain system. Our brain gets in the habit of producing pain, even when there’s no damage. The Pathways program helps you to break this pain cycle and overcome all types of chronic conditions including back pain, migraines, RSI, fibromyalgia and more. Put an end to persistent pain – download the Pathways app for free!
Pathways Apple iOS Download:
https://itunes.apple.com/us/app/pathways-pain-relief/id1388251688?ls=1&mt=8
Pathways Android Download:
https://play.google.com/store/apps/details?id=com.pathways.pathwayspainrelief
Pathways Website:
http://pathwaysrelief.com
https://pathwaysrelief.com/ .Download the Pathways app for free on the AppStore or Google Play. In your own time, listen to our personalized pain therapy sessions and implement the takeaways in your day-to-day life. That should lead to at least a reduction, or in many cases, the elimination of chronic pain.
