08/05/09

What is the non-surgical treatment of adhesions?



Medication can play a crucial role in controlling pain - whether acute or chronic. 


For acute pain, medication is often the first treatment choice.

For chronic pain, it may serve as part of a broader treatment package.

This could include exercise, physical therapy and behavior change.

Although they can be helpful, medications aren’t a cure-all and can cause side effects or be ineffective and costly.

The best alternative to surgery is to seek the help of a pain specialist.

Only a pain specialist has the specialized training needed to treat chronic pain.

Their specialized training enables them to offer a variety of pain management techniques that are known to be effective for managing chronic pain.
The specialty of Pain Medicine is concerned with the prevention, evaluation, diagnosis, treatment, and rehabilitation of painful disorders. Such disorders may have pain and associated symptoms arising from a discrete cause, such as postoperative pain or pain associated with a malignancy, or may be syndromes in which pain constitutes the primary problem, such as neuropathic pains or headaches.

The diagnosis of painful syndromes relies on interpretation of historical data; review of previous laboratory, imaging, and electrodiagnostic studies; behavioral, social, occupational and avocational assessment; interview and examination by the pain specialist; and may require specialized diagnostic procedures, including central and peripheral neural blockade or monitored drug infusions.

The special needs of the pediatric and geriatric populations are considered when formulating a comprehensive treatment plan for these patients..

The pain physician serves as a consultant to other physicians but is often the principal treating physician and may provide care at various levels, such as direct treatment, prescribing medication, prescribing rehabilitative services, performing pain relieving procedures, counseling of patients and families, direction of a multidisciplinary team, coordination of care with other healthcare providers and consultative services to public and private agencies pursuant to optimal healthcare delivery to the patient suffering from a painful disorder.

The pain physician may work in a variety of settings and is competent to treat the entire range of painful disorders encountered in delivery of quality health care.

The treatment of chronic pelvic pain is a multidisciplinary specialty.

A team of nurses, psychotherapists, physical therapists, pain specialists, anesthesiologists, urologists, gynecologists and general surgeons working in a coordinated manner can mean maximum benefit for the patient.

Not only is the problem of pelvic pain is receiving the attention is deserves, but the team approach to its management is being recognized as one with merit..

Pain mapping is an emerging technique where, under local anesthetic, the surgeon attempts to locate the focus of pain by prodding different areas within the pelvis.

Sometimes pain is associated with adhesions, and sometimes adhesions (or even loci of endometriosis) do not appear responsible for the pain. If an endometriosis site is discovered and removed, this should be covered with an adhesion barrier.

 

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