Allied Academies

Session 9: Pain Management and Rehabilitation

Session 9: Pain Management and Rehabilitation

Pain management can be simple or complex, depending on the root cause of the pain. An example of pain that is typically mild would-be nerve root irritation from a herniated disc with pain radiating down the leg. This condition can often be alleviated with an epidural steroid injection and physical therapy. Sometimes, however, the pain does not subside. This requires a wide variety of skills and techniques to treat the pain.

These skills and techniques include:

·         Interventional procedures

·         Medication management

·         Physical therapy

·         Psychological counseling and support

·         Acupuncture and other alternative therapies

·         Referral to other medical specialists

Basic types of pain:

Nociceptive pain

Examples of nociceptive pain are a cut or a broken bone. Tissue damage or injury initiates signals that are transferred through peripheral nerves to the brain via the spinal cord. Pain signals are modulated through various pathways. This is how we will become aware that something is hurting.

Neuropathic pain

Neuropathic pain is pain caused by damage or disease that affects the nervous system. Sometimes there is no obvious source of pain, and this pain can occur spontaneously. Classic examples of this pain are shingles and diabetic peripheral neuropathy. It is the pain that can occur after nerves are damaged or even after a stroke.

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