Medical Management Of Chronic Pain
On average how long does it take to schedule a new patient appointment for a patient with pain management issues?
We are able to accommodate patients for a new appointment within one week. If an individual has all the necessary medical records and pays for the appointment out of pocket we may accommodate a request for the next business day appointment.
Do you accept new patients with chronic pain problems?
Yes, we do and may continue to prescribe their medications for as long as there is no gap of more than 60 days in prescription filling.
Do you routinely screen for control substance misuse?
We follow CDC recommended prescribing-opioids-for-chronic-pain-guidelines and tailor them to each individual situation. Routinely we do a random urine drug screen on patients exhibiting suspicious behavior and at risk for overdose.
How frequently do you typically see a patient for well-controlled chronic pain management?
Typically we see those patients about once every four weeks.
What is the best course of action for patients with poorly controlled chronic pain?
The best course of action is to go back to a drawing board and figure out what is the cause of chronic pain.
How do you approach a patient with chronic pain?
Management of chronic pain is a multidisciplinary effort. For each patient, we build a team of professionals involved in the care. Depending on individual circumstances, a team may include one or more of the following specialists: internal medicine specialist, interventional pain management physician, orthopedic surgeon, neurosurgeon psychologist or psychiatrist, a pharmacist with compounding pharmacy experience, licensed physical therapist, and or licensed dietician.
What is the common cause of chronic pain and treatment failure?
In most circumstances, it is a combination of factors including an incorrect diagnosis of an underlying problem, poor communication between medical provider and patient, high tolerance to the opioid medications, secondary gain and unrealistic expectations to name a few.
What are the consequences of untreated or poorly treated chronic pain?
Patients with inadequately controlled chronic pain experience a variety of issues including but certainly not limited to easy irritability, fatigue, inability to enjoy life simple pleasures, life dissatisfaction and as a result chronic depression, insomnia, marital problems, a higher risk for medication overdose and death.
What are the common side effects of opioid medications used for the treatment of patients with chronic pain?
Constipation, nausea, sleepiness, dizziness, itching, dry mouth, sweating, addiction, respiratory depression, low blood pressure, opioid withdrawal. The entire list may be obtained from an individual medication-accompanying manufacturer insert.
Do you sign a pain management contract with patients on chronic opioid therapy?
A chronic pain management contract is a necessary part of care for patients with chronic pain management and we execute it at the first appointment with a patient.