Pain clinic and chronic pain management services

April, 2020 Articles and educational materials

Pain more longer than 3months means”Chronic pain”.Many pain syndroms persist for weeks, months or even years. Chronic pain can occur anywhere in your body. These pains can be very mild or severe enough to disrupt daily activities. The nature of the pain can be burning,lancinating and…. The prevalence of chronic pain increases with age, especially with underlying diseases. We now discuss about role of the pain clinic and its services.

Causes of Chronic Pain

Causes of Chronic Pain are two major components: 1/Primary region injury where the area has anatomical and physiological problem wich chemical mediators   produces  pain signals that is controlled by the treatment of primary region problem ,but not all problems sometimes end with the initial injury being rescued by the time the pain-induced neurotransmitters transmit to the cortical area of ​​the brain and over time the changes in brain chemical neurotransmitters occur, Inhibitory mediators are reduced, and despite the primary cause of pain persist.

Complications of chronic pain

Continuing the chronic pain process can cause mental and emotional problems and will cause depression / anxiety which will eventually lead to loss of performance and inability to perform activities and decrease the quality of life. In addition, chronic pain can impair immune function, which can lead to spread of infectious diseases and malignancies and delay in the healing of damaged tissues.

Pain Clinic

The Pain Clinic is a treatment center founded to treat a variety of chronic (over 3 months) pain such as joint pain, musculoskeletal, spine, cancer, and other types of chronic pain. At the Pain Clinic, the specialist in pain management, with the help of clinical and paraclinical diagnostic procedures, attempts to determine the cause and treatment of chronic pain. Simple treatments in the pain clinic include noninvasive treatments such as the use of high power lasers, magnet, acupuncture, etc. However, many patients in the pain clinic require minimally invasive or interventional procedures. Minimally invasive interventions as the name implies, have the least damage to body tissue. These procedures will be performed in the operating room in sterile conditions and with the guidance of radiological devices, which will be explained.

Diagnostic service

First, a detailed medical history is taken, followed by tests and clinical examinations. History and Physical Examination Despite all the technological advances in technology, they are still the pillars of diagnosis and treatment of chronic pain. Paraclinical requests will then be made based on possible evidence and diagnoses, including necessary imaging (MRI / CT SCAN / ultrasound, etc.) and neuromuscular tests EMG&NCV.

Treatment service

Once the disease is diagnosed, the treatment plan needed to relieve the underlying disease.One part of  treatment is noninvasive,include high power laser , magnet therapy, manual therapy, acupuncture and …,but most part of the treatment service is “interventional pain management”service..In interventional  procedures, special equipments (special needles, endoscopes, catheters, etc.) are inserted into the desired area without the need for surgical excision by guide of CT scan, fluoroscopy, ultrasound and necessary procedure such as injection of cell growth factors,removal of herniated disc, Spinal cord stimulator….performed, and as a result the disease and pain can be resolved without the need for skin rupture, without the need for general anesthesia, and the normal anatomy of the body is not disrupted without any complications.