Pain Management

Ive been very lucky my whole life and have had to face few hardships. Sure, my parents divorced when I was four or five. And, sure, I had problems with my step dad. And, sure, I felt like my mom left me when I was little because she moved down to LA from San Francisco and I only got to see her a couple of times a year. And, sure, I saw a homeless guy get run over by a car right in front of me when I was around eight or nine. And yes, growing up in San Francisco in the late 80s, we had a lot of family friends who were diagnosed with HIV and two that I was very close to died. But none of that is anything special or exceptionally traumatic. Ive known plenty of people who had the most horrible things imaginable happen to them when they were little and they didnt end up addicted to anything. Theyre living good, honest, productive lives. They are functioning members of society. They dont fantasize about killing themselves or using drugs until they die. So is it just that Im weaker than they are? Am I mentally weaker?
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Guardian Headache And Pain Management Institute

However whether pain is mild or severe, acute or chronic, medications are usually part of a pain management plan. Pain medication: The “stepped” approach When medications are used for pain, the type chosen depends on the type of pain, severity, what you have tried before, and any intolerance or allergies to medications that you may have. Mild pain can usually be managed with acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs; e.g., ibuprofen, naproxen). If pain is more severe or does not respond to previous medications, an opioid medication may be added. Generally, a weak opioid is used, such as codeine alone, codeine and acetaminophen, or oxycodone. If the pain is severe or doesn’t respond to these medications, then a stronger opioid is used. Strong opioids are generally considered to be morphine, hydromorphone, and fentanyl. This gradual approach is called the “stepped approach” to pain management, initiated by the World Health Organization in the early 1980s. Adjuvant medications Depending on the type of pain, other medications (called adjuvant medications) such as antidepressants, muscle relaxants, antiseizure medications, and anti-anxiety medications may be used to help control pain. Also, some herbal or natural products have demonstrated promising pain-relieving effects. Botulinum toxin and medical marijuana can also be helpful for some types of pain.
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Pain management overview

By definition pain is considered to be chronic when it has lasted more than 3-6 months, has significant psychological / emotional affects and limits the ability of a person to fully function. This may be associated with sleep disturbances, lack of energy and depression. In many chronic pain conditions the pain persists beyond the usual course of an acute disease or healing of an injury. What is a pain management clinic? The first modern pain management center was set up the University of Washington in 1961. In the 1970s Fordyce and Sternbach established the principles of pain treatment using a multidisciplinary approach. This approach which is fully embraced and implemented at the Guardian Headache & pain management institute, allows treatment of physical, emotional, behavioral, vocational, and social aspects of the pain in a more effective manner. Why choose Guardian Headache & pain management Institute? An appointment with our institution will not be just another office visit to see a doctor. It will be a new beginning. Start of a journey and a quest for relief from the unrelenting and agonizing pain and suffering. The implementation of multidisciplinary approach, allows treatment of the physical, emotional, behavioral, vocational, and social aspects of the pain in a more effective manner.
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New York Plastic Surgeon Uses Multifaceted Approach to Pain Management

In order to help manage post-operative discomfort, Dr. Broumand has begun to use an innovative analgesic called EXPAREL as part of the recovery process. “The old adage of ‘no pain, no gain’ doesn’t hold much merit these days when it comes to cosmetic plastic surgery at my practice,” says Dr. Broumand. With the use of EXPAREL pain management after surgical procedures, many of Dr. Broumand’s patients report that their comfort levels are higher than they thought was possible after cosmetic treatments such as tummy tuck or breast augmentation . Dr. Broumand says this positive outlook on the recovery process impacts the way in which patients look back at the whole experience of cosmetic surgery. When patients recall their entire surgical experience in a good light, he says their own overall satisfaction increases and they are more likely to recommend plastic surgery to a friend or a loved one. In addition to using EXPAREL to manage any post-operative pain, Dr. Broumand selects surgical techniques that are designed to minimize bruising and bleeding — both major causes of discomfort during the recovery period. A recent blog post titled ” My Technique for Managing Pain After Cosmetic Surgery ,” explains how Dr. Broumand keeps the recovery process in mind when determining his surgical approach.
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