Chronic pain management techniques, clinics & treatment

Pain management can be complex or simple that normally depends on the causes of pain and the location of pain. An example of pain or ache that is typically fewer complexes would be nerve origin irritation form herniated disc with the pain or aches radiation down the leg. Normally this condition can be alleviated with physical therapy and epidural steroid injection. However sometime, the pain does not go away. In this cases can require various techniques and a wide variety of skills for treat or control the pain. These techniques and skills include:

  1. Medication management.
  2. Interventional procedure.
  3. Chiropractic therapy.
  4. Physical therapy.
  5. Psychological support and counseling.
  6. Acupuncture and like some other alternative therapies.
  7. Sometime refer to other medical specialist.

What is pain?

Any unusual sensations which are occur due to physiological condition that is pain. It may be acute or chronic in nature.

What is pain management?

Pain may acute or chronic. The way of pain management may be simple or complex depending on the causes of pain. When someone complained of pain, the activities to reduce or relief pain is pain management. Pain may be caused due to some medical condition such as surgery or injury. Pain management strategies are including physical therapy, occupational therapy, pain reliving medication, cognitive behavioral therapy and complementary therapies as like massage and acupuncture. Always see your doctor for check up, diagnosis, advice, treatment and medication for best pain management.

Primary treatment of pain management

At first identify the acute causes of pain. Then asses the severity of pain by pain measuring scale.

  1. Provide psychological support.
  2. Ensure rest & keep environment quite and calm.
  3. Some exercise is helpful for pain management.
  4. Breathing exercise is helpful to mange chest pain.
  5. Hot and cold compression is also used in pain management.

Pain management center

  1. Hospitalize.
  2. Clinic.
  3. Nursing home.
  4. Physiotherapy center.

Pain Control

Some activities are helpful for pain control those are given below:

  1. Keep concentration away from pain by listening music, reading book or magazine, watching TV, sports and also through religions belief.
  2. Some exercise.
  3. Meditation.
  4. Motivation.
  5. Motivation therapy.

Pain management specialist

pain management

pain management

  1. Physician.
  2. Physiotherapist.
  3. Pain management team.

Natural pain management

  1. Ensure healthy environment.
  2. Meditation.
  3. Hot and cold compression.
  4. Psychological support.
  5. Physical or occupation therapy.
  6. Complementary therapies.

Non drug pain management techniques

There are various non drug treatment are available that help you for manage your pain. Most of the time a combination of therapies and treatment is more effective for pain management. Understanding the actual causes of pain can assist to reduce anxiety and fear. Ask your medical doctor to suggest some other pain management strategies which might better work for you and also complement your current regiment.

Some non drug pain management process or strategies are including:

Heat or cold

Normally heat packs can aid relief of mild and chronic musculoskeletal injuries and also some other associated pain. Normally an icepack can be used that help to reduce swelling immediately on the portion of injury.

Physical therapies

Usually walking, physical exercises as well as strengthening and stretching or aerobic exercise are very much useful to relieve mild pain, depending on the causes. Most of the time physical activity is very useful that help you to improve your mood and stay active. Ask an osteopath or physiotherapist to design a design a program particularly for your present pain condition.


It is one of the best primary pain management treatments to reduce your mild pain. It is very much effective and suited to soft tissue injuries.


It is the component of usual or traditional Chinese medicine. Normally acupuncture involves the placing or insertion of very thin needles into an exact point on the skin of your body and it is believed to encourage the body to heal itself, restore your balance and also release natural pain relieving compounds from the body that called endorphins.

Relaxation and stress management methods

Most of the time stress management methods or technique like meditation and yoga is very much helpful for pain management.

TENS or transcutaneous electrical nerve stimulation therapy

It is another helpful process for pain management. In this process a minute electrical current is usually passed through the skin via electrodes and promoting a rapid pain relieving response from body.

CBT or cognitive behavioral therapy

This types of therapy can facilitate you learn to change how you think and how you feel about pain. It is very much effective for manage your pain. It is one of the valuable strategies for learning how to self manages chronic pain.

Chronic pain management

After treating pain, medical doctors usually start with oral painkiller such as Tylenol or acetaminophen and NSAIDs or no steroidal anti inflammatory drugs like voltaren, Advil, Motrin and Naprosyn. These drugs normally relieve pain, reduce inflammation and specially related to nerve injury, arthritis, tendinitis, mild or moderate cancer pain and some other form of severe pain.

Chronic pain management medication

When pain become severe, medical doctor then turns to stronger pain control or relief medication:


This drug normally used to treat the seizure disorders, and it is very much effective for chronic pain management. But it is still not clear that how they are able to manage chronic pain, but the drug are believed to make softer the effect on the nerve related pain like postherpetic neuralgia from the shingles. This drug includes Tegretol, Lyrica and Neurontin.

Now a day a new generation of anticonvulsant drug is very much promising for chronic pain management but their side effect are much lower.


Sometime low doses of antidepressants drug are being prescribed for several chronic pain management. These drugs normally adjust the levels of brain chemical that is through to be their mechanism for helping to manage chronic pain.

Antidepressants, most of the time helps when other treatment does not work into patient for complete chronic pain relief. They manage pain whether the patient is depressed or not. Normally the doses needed to control pain are usually much lower than doses that used for depression treatment.

  1. Norphamin, Pamelor and Elavil are tricyclic antidepressants drugs that normally prescribed to manage chronic pain, mainly nerve pain, cancer pain from diabetic neuropathy and also postherpetic neuralgia pain from the shingles. They usually affect levels of the human brain chemical serotonin and norepinephrine.
  2. Cymbalta is a norepinephrine and serotonin reuptake inhibitor that increases availability of the human brain chemicals norepinephrine and serotonin. Cymbalta is a FAD approved and it used for the treatment of fibromyalgia, musculoskeletal pain, diabetic neuropathy and chronic low back pain.

Pain relief creams

Several painkillers like Zostrix that contains capsaicin that are often helpful. Normally capsaicin works by decreasing transmission of a pain relieving chemical that called substance P into the brain. These products with these ingredients are also work: salicylate a substance which relieves pain and decrease inflammation. On the other hand counter irritants like eucalyptus oil, menthol and camphor, which relieve chronic pain by causing either heat or coolness at the pain site.

Skin patches

A transdermal patch, contain a chemical lidocaine that can offer as chronic pain management. The patches are the FDA approved for severe nerve pain from the shingles, a situation that known as postherpetic neuralgia. Lidopain and lidoderm are two lidocaine skin patches which available by prescription. On the other hand capsaicin also comes in patch that applied by doctor. It can be used every 3 months.

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