Take Control of Your Pain

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The Problem With Pain

Studies have shown that chronic pain is more prevalent in older adults than in any other age group. In addition, women experience pain more often than men. As a matter of fact, 73% of older adults report that they are experiencing pain, increasing to 80% for those who are living in care homes. No matter the age group, poorly controlled pain can cause functional impairment such as sleep disturbance, reduced mobility, and decreased socialization. Therefore, if you are in pain and desire carefully-considered, individualized options for treatment, contact Advanced Pain Medical Center.

What are the major types of pain?

  • Nociceptive pain

    Nociceptive pain is a “normal” type of pain. This is pain that makes sense. Examples of this type of pain include arthritis, broken bones, and surgical pain. This pain is commonly treated with opiates and anti-inflammatories. We utilize procedures to target the pain generator, which is oftentimes a joint.

  • Neuropathic pain

    Neuropathic pain is an “abnormal”, nerve-based type of pain. This pain doesn’t make as much sense. Examples would include diabetic foot pain (My foot isn’t actually on fire, so why does it feel that way?), phantom limb pain (How can my leg hurt if it isn’t even there?), and pain from a remote surgery (How does my back hurt from a year ago when even the scar is healed?). This type of pain also includes nerve pain (pinched nerve) or migraine headaches. Non-traditional “pain medications” like antidepressants and anticonvulsants work well for this kind of pain. We may also perform procedures to target peripheral nerves or the spinal cord.

  • Mixed-type pain.

    This is the most common type of pain, as it involved features of both nociceptive and neuropathic pain. To treat this type of pain, we involve elements from both categories.

What is a pill mill?

A “pill mill” is a term used to describe a disgraceful medical practice, whose focus is to be highly profitable by legally, but unethically and unsafely, flooding the community with powerful, addictive opiates. Oftentimes, these practices don’t accept health insurance (cash only), are not physician-owned, and employ physicians without fellowship training in the subspecialty of Pain Medicine. The State of Florida, under the guidance of Pam Bondi, eliminated many of these clinics, but some still remain. Advanced Pain Medical Center is not one of those.

Why is proper board certification important?

Board certification indicates that a physician has met the education and training requirements, along with the practical knowledge and judgment, to safely care for patients in the specialty of his or her choosing. Current board certification requirements mandate ongoing education to maintain that certification. To become a “pain doctor”, one will complete a residency in anesthesiology (most common), physical medicine and rehabilitation, neurology, or psychiatry. Following this 4-year residency after medical school, the physician will complete a 1 to 2 year fellowship in Pain Medicine.

Dr. Stewart is double board-certified in Anesthesiology and in Pain Medicine.

Pain management in Gainesville is a rapidly advancing medical specialty

Q: What is the difference between Pain Management and Pain Medicine?

A: According to the American Board of Pain Medicine, it is a discipline of medicine that utilizes scientific research to prevent, diagnose, and treat pain. It embraces a wide spectrum of ailments, including neuropathic pain, sciatica, and postoperative pain. Pain management in Gainesville is a rapidly advancing medical specialty that uses a multi-disciplinary strategy for treating all types of pain and improving patient’s quality of life. What’s more, a pain management team is typically composed of medical practitioners, clinical psychologists, physiotherapists, occupational therapists, physician assistants, and nurses. Mental health specialists and massage specialists may also be involved.

An effective and successful pain management treatment often requires coordinated efforts of the whole pain management team. A person’s positive outlook and the way they emotionally cope with chronic pain will help in the progress.

pain management

Q: What is the difference between chronic pain and acute pain?

A: Pain, as described by the International Association for the Study of Pain is “an unpleasant sensory and emotional experience associated with, or resembling that associated with, actual or potential tissue damage”.

Chronic pain is pain that persists or recurs for more than 3 months. Almost all of our patients have this kind of pain.

Acute pain lasts fewer than 3 months. It is the kind of pain with which most people are familiar. Surgery, injury, and intermittent events (stomach ache, Charley horse, etc.) are examples of acute pain.

Q: Are opiates risky?

A: Everything in life has risks and benefits. Opiates are no different.

On the one hand, opiates do not damage any organ directly. They tend to reduce “sympathetic” tone, so they will slow the heart rate and blood pressure. Morphine, specifically, is useful since it will dilate the coronary arteries, improving blood flow to the heart. And they are excellent pain relievers, especially in the acute setting for nociceptive pain.

On the other hand, opiates, in excessive doses, can stop your breathing. They cause constipation, affect hormonal (especially testosterone) levels, increase fat content while reducing muscle content, and worsen memory. In long term, high-dose use, they also cause pain; this is called hyperalgesia.

Pain Management Gainesville – Advanced Pain Medical Center to your rescue!

If you have any other questions, please contact us with your queries. The first step in pain management is scheduling an appointment with your doctor to determine the underlying source of your pain and to find out about all possible treatment options. There are many different treatment options available.

Schedule an appointment today and let us provide you with our customized care.

The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Therefore, always seek the advice of your physician or other qualified healthcare provider with any questions or concerns you may have regarding your health

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