Pain Medication Management

Denver Pain Medication Management



Pain medicine management is used for people who suffer with chronic pain. Each type of medication has a unique purpose and measure for providing pain relief for patients. Medications used in pain management can range from simple over-the-counter items to extended relief narcotics.


What is pain?


Pain is any discomfort or unpleasant feeling caused by injury, emotional disorder, or illness. Pain is classified as:

  • Acute pain – Results from inflammation, disease, or injury, and it starts suddenly after surgery or accidental trauma.
  • Chronic pain – Caused by a disease, and is worsened by psychological and environmental factors. Chronic pain conditions include fibromyalgia, endometriosis, chronic fatigue syndrome, inflammatory bowel disease, temporo-mandibular joint dysfunction, interstitial cystitis, and back/spinal conditions.


What conditions are treated with pain medication management?


Pain medication management is used to treat many chronic conditions, including:


  • Fibromyalgia
  • Spondylosis
  • Degenerative disc disease
  • Complex regional pain syndrome
  • Facet joint syndrome
  • Sciatica
  • Neuropathy
  • Failed back surgery syndrome
  • Chronic back pain
  • Chronic neck pain
  • Persistent headache
  • Osteoarthritis
  • Rheumatoid arthritis


How is pain medication management in Denver performed?


Four main types of medication are given for patients with chronic pain. These include nonsteroidal anti-inflammatory drugs (NSAIDs), prescription-strength analgesics, corticosteroids, and opioid medicines. The common agents used include:


  • Acetaminophen – Tylenol and aspirin-free Excedrin, provides relief for pain when there is swelling or inflammation.


  • Corticosteroids – Includes prednisone and methylprednisolone, which reduce inflammation.


  • NSAIDs – Includes ibuprofen and naproxen, which reduce production of prostaglandins in the body.


  • Opioids – Hydrocodone, oxycodone, and Ultram.


What will happen when I first see the pain management specialist?


When you visit the pain management specialist, you are encouraged to ask about your concerns and fears regarding pain medicines and the associated risks and complications. The patient-specific factors, medication side effects, and other medical problems are evaluated before the pain management regimen. In addition, before prescribing these medicines, your doctor will consider state and federal regulatory requirements.


What is involved in the pain management protocol?


Under our pain management protocol, patients are offered continue medication evaluation that promotes safety, well-being, and health. Our philosophy involves using injectable medication therapy, spine rehabilitation, spine injections, and joint injections. We reduce the use of medication to eliminate dependence in all chronic pain patients. Medications are used to supplement other treatment options.


What tests are involved in the chronic pain condition evaluation?


With the chronic pain evaluation, the doctor makes a diagnosis base on the history of your pain, whether it is dull, sharp, aching, or stabbing, as well as location and duration of pain. Diagnostic techniques used to uncover the cause of pain include:

  • Electromyography (EMG) – Help find out which nerves or muscles are affected by pain or weakness.
  • Nerve conduction studies – Determine if there are damaged nerves.
  • Evoked potential (EP) – Used to record speed of a nerve signal.
  • Magnetic resonance imaging (MRI) – Uses magnetic waves to differentiate between healthy and diseased tissues.


What other therapies are offered along with pain medications?


The goal of pain management is to improve individual function by allowing the patient to carry out his day-to-day activities in a usual way. These include:

  • Physical therapy – Use of physical techniques and measures in the treatment of chronic pain, such as heat, cold, massage, manipulation, and exercise.
  • Heat/cold therapy – Used to relieve pain when applied to body regions. Physical exercises include range-of-motion and stretching, which are used to maintain flexibility, mobility, and strength. Regular exercises are used to relieve stress, as well as increase production of endorphins (natural pain relievers).