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Archive for July 27th, 2017

A Brief Rundown of Services

Thursday, July 27th, 2017

Finding a Good Pain Doctor

We all have our own ideas about how our pain needs to be treated, as do the pain professionals who treat us. Some of us are open-minded about all available treatments, others not.

Perhaps we have undergone pricey medicine trials or treatments that were ineffective. Perhaps opioids worked well, but our provider is no longer at ease prescribing them. Maybe there are no alternative treatments available to us. That’s why a good fit between patient and pain doctor is crucial.

Are all pain doctors the same? Not at all. Pain management experts have varying clinical backgrounds and pain management board certifications. The American Society of Regional Anesthesia and Pain Medicine says the American College of Graduate Medical Education presently recognizes three pain management board certifications.
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Eligibility for a subspecialty board certification in pain management calls for board certification as well as fellowship as an anesthesiologist, neurologist or physiatrist.
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Anesthesiology – Many pain experts are anesthesiologists. They count on interventional procedures, including nerve blocks and epidurals among others, and some perform ultrasound-driven trigger point injections. A lot also prescribe medications for pain.

Neurology – A neurologist may belong to a pain management group and perform the exact procedures an anesthesiologist does, or concentrate on managing nerve pain-causing conditions such as diabetes and chronic migraine. They also conduct diagnostic tests like electromyography (EMG), and provide pain management through medication.

Physiatry -Physiatrists, by training, are rehabilitation physicians focusing on physical and occupational therapy, movement, and determining contributory factors to pain. Those who sub-specialize in pain management also prescribe pain medication, conduct interventional procedures, and implant medical devices for chronic pain management.

Notwithstanding their main specialty, you want a pain doctor who is a good diagnostician and practices an approach that you feel is effective for you.

Below are other considerations when you look for a pain professional:

Is the physician within your insurance network?

Do you find his bedside manner acceptable?

How experiences is he?

Does he perform an extensive physical exam?

Does he rush to perform an interventional procedure the first time you meet? This is a negative sign.

Does he discuss your treatment plan with you, making sure you understand it thoroughly?

Does he provide and discuss all your options, like physical therapy or opioid therapy and its risks and benefits?

Does he use a patient-centric care model and listen your ideas while devising a plan?

Finally, does the provider feel like a good fit for you? It matters. Poor chemistry with your pain doctor diminishes your confidence in his ability to treat your pain. And as pain is substantially subjective, this will also diminish your treatment’s efficacy.

A Beginners Guide To Clinics

Thursday, July 27th, 2017

How Do You Find a Good Pain Doctor?

We all have our own ideas about how our pain needs to be treated, as do the pain professionals who treat us. Some of us are open-minded about all available treatments, others not.

Maybe we have participated in costly medicine trials or treatments which didn’t work. Perhaps opioids worked well, but our provider is no longer at ease prescribing them. Maybe alternative treatments are inexistent for us. That’s why a good fit between patient and pain doctor is crucial.

Are all pain doctors made equal? Not at all. Pain management professionals have diverse clinical backgrounds and pain management board certifications. The American Society of Regional Anesthesia and Pain Medicine says the American College of Graduate Medical Education presently recognizes three pain management board certifications.

Eligibility for a subspecialty board certification in pain management calls for board certification as well as fellowship as an anesthesiologist, neurologist or physiatrist.

Anesthesiology – A large number of pain doctors are anesthesiologists. They perform interventional procedures, like epidurals and implantable devices (for example, pain pumps or nerve stimulators), and some do ultrasound-steered trigger point injections. Several prescribe pain medications as well.

Neurology – A neurologist may belong to a pain management group, performing the same procedures as an anesthesiologist, or he may specialize in the management of nerve pain-causing conditions (for example, chronic migraine and diabetes). They also conduct diagnostic tests like electromyography (EMG), and provide pain management through medication.

Physiatry – Based on their training, physiatrists are technically rehabilitation physicians who specialize in the identification of contributing factors; physical and occupational therapy; and movement. Those who sub-specialize in pain management also prescribe pain medication, conduct interventional procedures, and implant medical devices for chronic pain management.

Whatever their core specialty, what you need in a pain doctor are excellent diagnostic skills and a treatment philosophy you feel will be right for you.

Here are other considerations when searching for a pain expert:

Is the provider part of your insurance network?

Are you okay with his bedside manner?

What kind of experience does he have?

Does he perform an extensive physical exam?

Does he rush to conduct an interventional procedure on your first meeting? This is a negative sign.

Does he explain your treatment plan, ensuring you understand it very well?

Does he provide and discuss all your options, like physical therapy or opioid therapy and its risks and benefits?

Does he use a patient-centric care model and listen your ideas while devising a plan?

Finally, do you feel that the provider is a good fit for you? It matters. If you have poor chemistry with your pain doctor, your confidence in his pain management skills will be diminished. And as pain is substantially subjective, this will also diminish your treatment’s efficacy.
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