Pain management is very elusive for most sufferers of Chronic Pain conditions. Many have tried multiple medications, physiotherapy and even alternative healing practices in hopes of eliminating pain. The most important thing chronic pain sufferers need to acknowledge is that chronic pain is rarely cured, but help is available.

Primary Medical Intervention

Chronic pain sufferers should undergo testing to ensure there are no underlying medical causes for the pain. Make sure you provide your doctor a detailed explanation of the pain. Include the following:

·         Sleep problems

·         Weight loss/weight gain

·         Depression

·         Type of pain (stabbing, burning, tingling, etc.)

·         Levels of pain (averages)

·         What makes pain worse?

·         What makes pain better?

·         Pain medication (e.g. ASA) and the amount taken

·         Impact on social and home life

·         What you have tried for relief (e.g. physiotherapy, acupuncture or massage)

It is important that your doctor is fully aware of the problems you are experiencing as a result of the pain.  It is normal for the doctor to ask you probative questions to further examine possible causes. Do not be surprised if the doctor requests an examination by a neurologist or other medical specialist. Blood tests, muscle testing and x-rays are common practice to eliminate potential causes. In some cases doctors may request an MRI or a CAT scan to get a better understanding of what is happening.

Treatment Plans

After your doctor has received the test results you will be asked to come back to the office for a follow-up visit. This visit provides an opportunity for the doctor to review the results with you and determine a course of action.

Many people will be placed on pain killers that are stronger than the over-the-counter pain killers, for example Tylenol 3. Muscle relaxants may be prescribed for those who have been experiencing intense muscle knots. Anti inflammatory pills may be prescribed to reduce swelling. Antidepressants may also be prescribed to help with sleep issues caused by chronic pain.

Doctors expect their patients to be active participants in their treatment, therefore patients must not be afraid to ask questions or express doubts and/or concerns. If you still do not feel comfortable with the suggested treatments you need to seek a second opinion.

Secondary Medical Intervention includes psychologists, physiotherapists, and kinesiologists. While there is a myriad of potential treatments available, these are the most common.

Physiological Treatments

The physiotherapist is a trained professional who is able to provide assessment and suggest treatment for those suffering from acute injuries and/or chronic pain. Through physical manipulations of muscles and exercises many conditions improve. There is no claim that treatments from a physiotherapist will eliminate pain, rather that it can serve to reduce pain thereby improving the sufferer’s life.

Kinesiologists are specialists in developing personalised training programs for people who are training for sporting events and for people who are suffering from injuries and long-term pain issues. It can be helpful to undertake this form of treatment at the same time as physiotherapy, which would potentially improve the pain level of the sufferer.

Psychological Impact of Pain

Pain has a very really impact on emotion and mood. People who suffer from chronic pain often find themselves becoming depressed over their inability to fully participate in life. This is not to say that every person will suffer from emotional complications, rather to say that it is common place.

Sometimes a therapist can help by teaching relaxation techniques, cognitive behaviours, and assertive communication skills. The biggest hurdle is to get over the stigma of going to a therapist. Society may view people who seek this type of professional help, however, it is important to recognise that seeking therapy takes strength that many people do not have.

Pain Centres

In many of the major metropolitan areas pain centres are being developed. Check your local directory, ask your doctor or consult a local pain association such as the Arthritis Society to determine if a centre exists near you. Do not be surprised if the centre requires a doctor’s referral. These centres may have a considerable waiting period, but it is still worth the patient’s time.