Pain Management Group: This group teaches the patient about factors, which can impact pain and techniques to manage their pain more effectively. Patients are taught alternative ways to manage pain rather than relying almost exclusively on medication or visits to the doctor. Patients are encouraged to become active participants in their care and to learn what they can do to better manage their pain and take more control over their lives.
Stress Management Group: In this group, patients learn how stress can affect them both physically and mentally. Chronic pain is a chronic stress, in addition, stresses related to other issues as well as those directly related to chronic pain impact a patient’s life. Patients are taught more effective stress management skills to decrease their perception of pain and improve the overall quality of life.
Biofeedback Training: Patients undergo physiological changes while under stress, which can be monitored and recorded. Patients learn to become more aware of their bodies/physical sensations, and how to intervene with relaxation skills when they become tenser due to pain, stress, etc.
Individual Chronic Pain Therapy: Patients learn to identify issues in their lives, which can aggravate pain. Focus is also put on helping the patient identify negative thinking patterns and behaviors which can aggravate or maintain their pain. The patient and therapist set treatment goals including vocational goals. helping improve depression and anxiety is also a focus of this modality.
Medication Regulation: The patient’s medications are closely monitored to find the optimum level of medication to improve the patient’s functioning while preventing abuse of medications, particularly narcotics.
Nutrition Education: Patients learn that certain foods, substances and conditions add to one’s stress level and increase perceptions of pain while others promote a calmer, more stable mood. Patients are taught nutritional habits essential for good health and nutritional behaviors that impact stress, mood and pain levels.
Relaxation Training: Patients are taught a variety of relaxation techniques including progressive muscle relaxation, visualization/imagery, active diaphragmatic breathing, meditation and autogenic relaxation to reduce residual muscle tension, decrease stress and lead to a sense of confidence in dealing with chronic pain.
Physical Reconditioning Group: The goal of this group is to increase the patient’s range of motion through an exercise program that the patient can also use in his or her home environment. As the patient progresses, his exercise program is modified through the addition of more sets, and repetitions. The patient is instructed to utilize this program outside the clinic in order to continue home exercise program after discharge.
If a patient requires physical therapy, it can be coordinated through the referring doctor’s physical therapy department.
REASONS FOR REFERRAL TO CENTER FOR PAIN MANAGEMENT
The patient has not responded to primary or secondary stages of physical medicine treatment in a reasonable period of time (between 4 to 6 months) and/or exhibits pain behavior that is limiting mental or emotional dysfunction, which is disruptive to their activities of daily living. We are devoted to providing the highest quality of care for patients with chronic pain and stress.
We offer a flexible approach to pain management from simple evaluation and recommendations to a full multidisciplinary consultation. Our team of caring professionals offers treatments that have had a practical effectiveness for people in pain. In addition to treating and managing chronic pain and stress, we promote wellness through changing attitudes and lifestyles. We offer a variety of treatment options including alternative medical therapies for those who have failed traditional medical management and those who present with complex psychosocial issues.
Chronic Pain: Any pain or discomfort that persist for an extended period of time. It can be the result of previous injury, disease, stress, or can manifest spontaneously.
GOALS AND BENEFITS OF THE PROGRAM
- Decrease intensity of subjective pain
- Increase ability to manage pain
- Improve functioning
- Reduce health care use related to chronic pain
- Regain appropriate focus of daily living
- Appropriate use of medication
- Renew enjoyment in recreation
- Return to productive employment
Referring of patients can be made directly to the Pain Management Office. They will accept insurance, workers’ compensation and, in some instances, letters of protection from attorneys. We will make necessary follow through verification, authorization, etc.
Routine contact with the referring physician will be maintained throughout the patient’s program participation. The referring physician will continue role of primary physician and the patient will be returned to their direct treatment upon program completion.
COMMON DOCUMENTED FINDINGS FOR AN APPROPRIATE REFERRAL TO “BEHAVIORAL CHRONIC PAIN PROGRAM
- Continue to complain of pain following conservative treatments (i.e. manipulations, physical therapy, and other modalities)
- Continue pain while abusing analgesics.
- The patient has not responded to primary or secondary stages of outpatient physical therapy in a reasonable period of time. (e.g. within four to six months)
- The patient exhibits pain behavior, functional limitations, and/or mental/emotional dysfunction, which are disruptive to their activities of daily living, and two or more of the following.
- The patient is facing significant, permanent loss of functioning that requires major physical, vocational, and psychological readjustment.
- Diagnostic findings are insufficient to explain the pain or further invasive medical treatment is not an option.
- Pain has persisted beyond the expected tissue healing time.
- The patient has chronic pain linked to adverse interpersonal relationship which interfere with rehabilitation.
- The patient has physical/mental impairment greater than expected on the basis of the diagnosed medical condition and treatment or differential diagnosis and treatment required in a more structured/supervised setting.
- The patient continues to express unrealistic expectations regarding outcome of medical intervention relief of their own symptomatology.
- Referral to such programs is also appropriate earlier in treatment in order to prevent later development of an excessively disabled lifestyle role if the patient is judged to be at risk for developing such problems.