In this video, spine surgeon Michael Hasz, MD from StoneSprings Hospital Center explains why over-the-counter pain medications are an important part of managing post-operative pain.
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Pain after surgery is traditionally management using standardized “one-size-fits-all” treatment protocols. Physicians generally select analgesic drugs and doses to treat surgical pain based on their own or institutional preference without extensive patient consultation or involvement. I will present a series of studies that we have conducted that challenges this paternalistic, standardized treatment approach. The feasibility and potential benefit of seeking input from patients regarding their personal preference for analgesic drugs and doses will be explored. Physician’s role should be to only present evidence-based pain treatment options and their potential side effects. Patient input prior to surgery can facilitate individualized perioperative pain treatment protocols based on patient’s preferences, expectations and needs. I believe this patient-centered surgical pain treatment model needs to be replace the existing “one-size-fits-all” model, and should be offered to all patients undergoing surgery.
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Speaker: Dr. Joel Katz, Professor, Canada Research Chair, Department of Psychology, Faculty of Health, York University
A little appreciated fact is that every chronic pain was, at one time, acute. And yet, not all acute pains become chronic. Regardless of the cause, the vast majority of people recover and do not go on to develop long-term pain. In the case of post-surgical pain, certain procedures are followed by an alarmingly high rate of long-term discomfort and pain. In this presentation, Dr. Katz will review the epidemiology of chronic post-surgical pain including its incidence/prevalence in children and adults, identify the risk and protective factors for the development and maintenance of chronic post-surgical pain (CPSP) and outline the rationale for preventive analgesia, an anesthetic approach to surgery that may reduce the likelihood of developing long-term pain after surgery. Research points to the severity of peri-operative pain as a risk factor for the development of CPSP. What must be determined is the aspect(s) of pain that is predictive and whether it is a causal risk factor. Is it something about the pain per se, or the individuals who report the pain? Will aggressive management of acute pain alter the course and decrease the incidence of chronic pain? This presentation will address these questions as they relate to the development of chronic post-surgical pain using a biopsychosocial framework.
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Chronic pain is often a result of an over-sensitized pain system. Our brain gets in the habit of producing pain, even when there’s no damage. The Pathways program helps you to break this pain cycle and overcome all types of chronic conditions including back pain, migraines, RSI, fibromyalgia and more. Put an end to persistent pain – download the Pathways app for free!
Pathways Apple iOS Download:
https://itunes.apple.com/us/app/pathways-pain-relief/id1388251688?ls=1&mt=8
Pathways Android Download:
https://play.google.com/store/apps/details?id=com.pathways.pathwayspainrelief
Pathways Website:
http://pathwaysrelief.com
https://pathwaysrelief.com/ .Download the Pathways app for free on the AppStore or Google Play. In your own time, listen to our personalized pain therapy sessions and implement the takeaways in your day-to-day life. That should lead to at least a reduction, or in many cases, the elimination of chronic pain.
Physiotherapist Joshua W. Pate, PT, PhD(c) shares how they assess patient’s reconceptualization of pain using the neurophysiology of pain questionnaire.
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Dr. Joe Tatta is one of the pioneering experts in lifestyle interventions for treating persistent pain. A unique combination of physical therapist, nutritionist, and ACT trainer, he has 25 years of experience in physical therapy, integrative models of pain care, leadership and private practice innovation. He holds a Doctorate in Physical Therapy, is a Board-Certified Nutrition Specialist and has trained extensively in Acceptance and Commitment Therapy. Dr. Tatta is the Founder of the Integrative Pain Science Institute, a company dedicated to reinventing pain care through education, research and professional training.
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The Osteopathy, Mindfulness and Acceptance based Programme (OsteoMAP) was an innovative three year cohort study examining the effects of integrating psychological interventions based on Acceptance and Commitment Therapy (ACT) with osteopathic treatment.
OsteoMAP was the third in a series of research studies designed to expand osteopaths’ existing scope of care for patients with persistent musculoskeletal pain that could be partially alleviated but not completely resolved by manual therapy alone. The study was funded with a £256K Innovation grant from the UK Department of Health (ISRCTN 04892266), and developed in collaboration with Dr Lorraine Nanke, a Principal Clinical and Health Psychologist working with the Surrey and Borders NHS Partnership Foundation Trust.
The study focused on patients who were already receiving osteopathy for long-term musculoskeletal conditions and courses were provided in the UCO Clinic and in two NHS GP practices in South East London. Patients who opted to join a course (n = 256) took part in an individual course of treatment, consisting of six one hour sessions combining osteopathic treatment with acceptance-based exercises and home practices to develop and strengthen body-based mindfulness and self-care skills. The course aimed to enhance patients’ resilience and wellbeing and their ability to live more active and personally fulfilling lives despite the probability of ongoing pain and physical limitations. Data was collected from a set of self-report questionnaires at baseline and after six months.
At six month follow up, patients (n = 79) reported improvements in their ability to cope with pain, be active and their quality of life. Future research plans include the design of a feasibility study for a randomised controlled trial to compare the effects of the integrated OsteoMAP approach with standard osteopathic or medical care.
Head or Programme – Dr. Hilary Abbey
Website – http://bit.ly/34jPjPnc
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http://www.wellnessandperformance.com Watch this video to find out how Trauma and Stress impact the brain to create chronic conditions, like: chronic pain, depression, anxiety, post traumatic stress, and fibromyalgia. You will understand how the brain / body connection works and why nothing you’ve tried has helped so far. If you or a loved one suffer from chronic health problems no matter what you’ve tried, then you can’t afford to miss this cutting edge information. You’ll also learn how to get started doing something about it right from home for less than by visiting: http://www.amazon.com/dp/B0090S9XFG
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Due to psychosomatic symptoms of mental illness, chronic pain can be caused by depression. Meaning that because of our depression we can feel like we are in pain all the time. Today I want to talk about how chronic pain (or being in pain for many weeks without a break) can lead to depression. Imagine if you are in pain more days then not, it would be really hard to sleep, you wouldn’t want to be out with other people, and you may even struggle to concentrate. There can also be legal and financial issues associated with chronic pain as our medical bills pile up and we attempt to get disability. I only mention these issues so that you can grasp just how hard having chronic pain can be, and why it is so closely linked to depression. I also did a video on chronic illness with Hank Green where he talked about grieving the loss of what his life could have looked like. Click here for more: https://youtu.be/IXbAYg5pp9M
He mentions how important it is that we try and focus on what we can do instead of focusing on the things that we can’t do anymore. Shifting our thoughts to a more positive place is so helpful and I honestly believe can change our overall outlook on life. There are also treatment options available! Seeing a therapist who can work with you on processing the loss and grief that you may feel as well as helping you focus on what you can do will really help. They also mention how medication not only for your pain but also for your depression (ie. SSRIs, SNRIs, etc) can really help. Lastly, there are treatment centers that work to help us overcome both issues at the same time. The Mayo Clinic has a great one (link below) but if going into a treatment center like that doesn’t work for you, you can also treat each issue separately through pain management and psychotherapy. The overall message I want you to hear is that help is available and it can get better. Even if the pain we feel doesn’t go away, we can find ways to better manage our emotions around it and heal our relationships with ourselves and others. I hope you found this helpful! I know this is something many in our community struggle with, and that’s why it’s important to share this video and your experience in the comments so we can learn from each other and feel better. Sleep video: https://youtu.be/4mqiqp2oKrc
Mayo clinic website: http://www.mayoclinic.org/departments-centers/pain-rehabilitation-center/overviewSubscribe here! http://bit.ly/2j2frsv
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Learn about what chronic pain is. Discover what CHEO’s Chronic Pain team will do to help you and the strategies you can do at home to manage your chronic pain.
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A new pain relief plan during surgery is helping patients get back on their feet quickly after a procedure.
Joseph Deily, a physician’s assistant with Lee Health, says patients often fear having pain after surgery. “One of the biggest fears patients have going into surgery is, oh my goodness I’m going to have so much pain afterwards. We don’t want patients delaying their surgery because of that fear.”
A new pain management plan is now helping patients recover from surgery quickly while controlling their pain. “What the goal of multi modal pain management strategies is, is basically, lessen the side effects of opiate medications, which are narcotics,” said Deily.
The multi modal pain management plan uses different medications that have different mechanisms of action. Medication, like Tylenol, are even being utilized in the operating room. “When you use a bunch of different medications in lower doses, what we’re doing is we’re having more effective pain prevention,” said Deily.
The goal is to use fewer narcotics during and after surgery. “We know from different studies and experience the complications after surgery are increased when you’re using only opioids after surgery,” said Deily.
The new pain management lasts longer and keeps patients form feeling groggy. “The goal is to take deep breaths and walk, and if patients aren’t walking and taking deep breaths then they’re going to be susceptible to pneumonia and that’s our number one complication,” said Deily.
Controlling the pain the first few days after surgery means fewer patients will require narcotics when they go home.
View More Health Matters video segments at LeeHealth.org/Healthmatters/
Lee Health in Fort Myers, FL is the largest network of health care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For more than 100 years, we’ve been providing our community with personalized preventative health services and primary care to highly specialized care services and robotic assisted surgeries. Lee Health – Caring People. Inspiring Care.
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Following orthopedic surgery, a dedicated group of physicians, nurses, and physician assistants from the Department of Anesthesiology will monitor your pain and ensure that it does not interfere with the early stages of rehabilitation, says Phil Wagner, MD, an anesthesiologist at HSS. Patient controlled analgesia (PCA), peripheral nerve blocks with long-lasting pain relief, and oral medications are just three ways your anesthesiologist will help you manage your pain following surgery.
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