Nivaan Clinic

How to control pain

Pain is an intricate and multifaceted phenomenon that can significantly impact our daily lives. Whether you’re dealing with acute pain from an injury or chronic pain from a medical condition, pain can limit your ability to perform routine tasks, engage in activities you enjoy and negatively affect your overall well-being.
Effective pain management is therefore crucial to enhancing the quality of life and promoting optimal physical and emotional health. Management of pain is not a one-size-fits-all approach. Each person’s pain experience is unique and influenced by various factors such as medical history, lifestyle, and personal circumstances.
Therefore, it is essential to consult a pain management specialist who addresses diverse pain conditions. This blog post will delve into pain management and explore various approaches to control and alleviate pain effectively.

Types of Pain Metrics:

Several pain metrics are commonly used when assessing and quantifying pain. These metrics help with diagnosis, treatment planning, and treatment result evaluation by offering helpful details on the pain’s kind, severity, and effects. Some of the most widely used pain metrics are listed below:

I. Subjective Pain Rating Scales:

  • Visual Analog Scale (VAS): The VAS is a subjective measurement tool that allows individuals to rate their pain intensity on a scale from 0 to 10, where 0 represents no pain and 10 represents the worst possible pain. It provides a quick and simple assessment of pain intensity.
  • Numeric Rating Scale (NRS): Similar to the VAS, the NRS involves rating pain intensity on a numerical scale from 0 to 10. Individuals are asked to select the number that best represents their pain intensity, with 0 being no pain and 10 being the most severe pain.
  • Verbal Rating Scale (VRS): The VRS involves using descriptive terms to rate pain intensity, such as “mild,” “moderate,” or “severe.” It provides a more qualitative assessment of pain intensity and can be useful for individuals who may find numerical scales challenging.

These pain metrics help medical professionals measure and diagnose pain, track the effectiveness of treatment, and develop individualised pain management plans. They work in conjunction with thorough clinical examinations.
Remember, it is important to consult a pain management specialist or healthcare professional to utilise these pain metrics effectively and interpret their results accurately. This is crucial in the context of individual pain management needs.

II. Pain Duration and Frequency:

Pain duration and frequency provide essential information for evaluating and managing pain. These factors help diagnose pain conditions, plan treatments, and monitor progress. Let’s explore pain duration and frequency briefly:

Pain Duration:

  • Acute pain: Short-term pain related to injury, surgery, or an underlying medical condition.
  • Chronic pain: This lasts for three months or longer, often resulting from nerve damage, musculoskeletal conditions, or chronic diseases.

Pain Frequency:

  • Intermittent pain: Periodic episodes with pain-free intervals, seen in migraines, cluster headaches, or certain arthritis types.
  • Continuous pain: Persistent pain without significant relief or pain-free intervals, found in neuropathic pain or advanced stages of certain diseases.

Understanding pain duration and frequency helps healthcare professionals develop personalised treatment plans for pain control and improved quality of life. Consult a pain management specialist or healthcare professional for a thorough evaluation and tailored treatment recommendations.

III. Pain Quality and Characterization:

Pain quality and characterisation are crucial in assessing and understanding pain and providing appropriate diagnosis and treatment. Here are some essential tools used in pain assessment:

  • Descriptive pain scales: These standardised scales allow individuals to describe their pain using specific terms and phrases. They help healthcare professionals assess pain intensity, location, and type, aiding treatment decisions. Examples include the McGill Pain Questionnaire (MPQ) and the Brief Pain Inventory (BPI).
  • Pain mapping: Pain mapping involves documenting the location of pain on a body diagram. It helps identify patterns, referral patterns, and associations with underlying structures. Pain mapping helps diagnose conditions like fibromyalgia or complex regional pain syndrome (CRPS) and helps tailor treatment plans.
  • Neuropathic pain screening tools: These tools, such as the Douleur Neuropathique 4 Questions (DN4) or the Leeds Assessment of Neuropathic Symptoms and Signs (LANSS), assess symptoms specific to neuropathic pain. They help differentiate neuropathic pain from other types and guide appropriate treatment interventions.

This information assists in accurate diagnosis and personalised treatment planning. If you are experiencing pain, consult a pain management specialist or healthcare professional for a thorough evaluation and tailored treatment recommendations.

How to Control Pain: Common Pain Management Treatments

Pain management involves a multidisciplinary approach that combines medical treatments, lifestyle modifications, and alternative therapies to alleviate pain and promote healing. Here are some common approaches to controlling pain effectively.

I. Non-Pharmacological Interventions:

Non-pharmacological offers effective alternatives or complementary approaches to medication-based treatments. Such interventions play a significant role in pain management. Here are some commonly used non-pharmacological interventions:

Physical Therapy

Physical therapy involves exercises, stretching, deep breathing, and strengthening techniques to reduce pain, improve flexibility, and restore functional abilities. It addresses musculoskeletal imbalances, improves posture, and enhances overall physical conditioning.
Physical therapy can help alleviate pain caused by arthritis, back pain, or injuries. The exercises prescribed by physical therapists are tailored to the individual’s specific needs, aiming to increase mobility, strengthen muscles, and promote healing.

Occupational Therapy

Occupational therapy focuses on enhancing an individual’s ability to perform daily activities despite pain or disability. Occupational therapists work with patients to develop strategies and adaptations that allow them to engage in meaningful activities.
By modifying workstations, providing assistive devices, and teaching energy conservation techniques, occupational therapy helps individuals manage pain while maximising their independence and productivity. This therapy is particularly beneficial in reducing chronic pain conditions that impact daily functioning.

Cognitive-Behavioural Therapy (CBT)

Cognitive-Behavioural Therapy is a psychological intervention that addresses pain’s emotional and cognitive aspects. It helps patients develop coping strategies, change negative thought patterns, and modify behaviours contributing to pain experiences.
CBT provides individuals with tools to manage stress, improve sleep patterns, and reduce anxiety and depression related to chronic pain. This therapy can significantly enhance pain management outcomes by focusing on the mind-body connection.

Transcutaneous Electrical Nerve Stimulation (TENS)

Transcutaneous Electrical Nerve Stimulation (TENS) is a non-pharmacological pain relief method that uses electrical currents to stimulate nerves. TENS units commonly manage acute and chronic pain, including nerve pain.
By applying electrodes to the skin near the source of pain, TENS units deliver low-voltage electrical impulses that stimulate nerves and effectively reduce pain perception. This technique provides a drug-free alternative for pain management, allowing individuals to experience pain relief and improve their daily functioning.
These above-discussed non-pharmacological interventions help individuals relieve pain, manage chronic pain, reduce pain medication reliance, and enhance their overall quality of life. By combining these approaches into a personalised pain management plan, individuals can effectively reduce pain, improve daily functioning, and regain control over their lives.

II. Pharmacological Treatments:

Pharmacological treatments play a vital role in pain management, relieving various types of pain. Here are some commonly used pharmacological interventions:

Over-the-Counter (OTC) Pain Relievers

OTC pain relievers, such as nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or acetaminophen, can be effective for mild to moderate pain. They work by reducing inflammation, alleviating pain, and lowering fever.
OTC pain relievers are easily accessible and can be helpful for conditions like headaches, muscle aches, or menstrual pain. However, following the recommended pain medication dosages is important. Consult a healthcare professional if the pain persists or worsens.

Prescription Medications

Prescription medications may be necessary to manage moderate to severe or chronic pain concerns. These medications include opioids, muscle relaxants, antidepressants, anticonvulsants, or specific medications targeting neuropathic pain. They target different pain pathways in the body, provide pain relief, and improve overall functioning.
In some cases, particular pain medication can inadvertently make pain worse or lead to other adverse effects. That’s why careful monitoring and appropriate dosage adjustments are crucial when using these medications.

Adjuvant Medications

Adjuvant medications are used alongside other pain management approaches to enhance their effectiveness. These medications may include certain antidepressants, anticonvulsants, or medications that address specific symptoms related to the underlying cause of pain.
Adjuvant medications can help manage neuropathic pain, address sleep disturbances, reduce anxiety or depression, or improve overall well-being.

Topical Analgesics

Topical analgesics are applied directly to the skin and provide localised pain relief. These include creams, gels, or patches containing ingredients like lidocaine, capsaicin, or NSAIDs. They can be beneficial for musculoskeletal pain, arthritis, or neuropathic pain. Topical analgesics work by numbing the area, reducing inflammation, or interfering with pain signals at the application site.
These pharmacological treatments are an important component of pain management. The choice of pain medication depends on the type, severity, and underlying cause of pain.
Work closely with a pain management specialist or healthcare professional who can assess your pain condition, evaluate potential risks and benefits, and tailor a pharmacological treatment plan that addresses your needs while minimising side effects and risks.

III. Interventional Procedures:

Interventional procedures are minimally invasive techniques used in pain management to provide targeted pain relief by directly addressing the source of pain. Here are some commonly used interventional procedures:

Nerve Blocks

Nerve blocks involve the injection of local anaesthetics or medications near specific nerves or nerve clusters to temporarily block pain signal transmission. These injections can help diagnose the source of pain and provide therapeutic relief for conditions such as chronic regional pain syndrome (CRPS), neuropathic pain, or certain joint and muscle pain.

Epidural Steroid Injections

Epidural steroid injections (ESIs) are commonly used for relieving pain and inflammation in the spinal region. The procedure involves injecting a corticosteroid medication and a local anaesthetic into the epidural space around the spinal nerves.
ESIs often treat conditions like herniated discs, spinal stenosis, or sciatica. The corticosteroid helps reduce inflammation, while the anaesthetic provides temporary pain relief.

Radiofrequency Ablation

Radiofrequency ablation (RFA) is a procedure that uses heat generated from radiofrequency waves to target and disrupt the function of specific nerves responsible for transmitting pain signals. It is primarily used for chronic pain issues, such as facet joint pain or sacroiliac joint dysfunction.
RFA can relieve long-lasting pain by temporarily or permanently disabling the targeted nerves and interrupting pain signals. Trained pain management specialists or interventional pain physicians perform these procedures. They can be used alone or with other treatment modalities for comprehensive pain management.
It is essential to consult with a healthcare professional or pain management specialist to determine the appropriateness and potential benefits of interventional procedures for your specific pain condition.

Nivaan’s Integrated Approach To Pain Treatment

We understand that living with chronic pain can be overwhelming. It affects your physical, emotional, and social well-being.

At Nivaan, we believe in a holistic approach to pain management that goes beyond simply treating the symptoms. Nivaan’s integrated approach combines the latest advancements in medical technology, evidence-based treatments, and a compassionate, patient-centred approach to help you regain control of your life.

When choosing Nivaan, you can expect a thorough evaluation of your pain condition, considering the underlying causes, medical history, and individual goals. Our team will work closely with you to develop a personalised treatment plan that addresses the root causes of your pain and focuses on restoring your quality of life.

Experience the transformative power of Nivaan’s Integrated Approach to Pain Treatment. Take the first step towards a pain-free life today by scheduling a consultation with our compassionate team. We are committed to understanding your unique pain experience and providing you with the support, expertise, and care you deserve.

Let Nivaan be your partner in comprehensive and compassionate pain management because you deserve a life free from the limitations of pain. Together, we can help you reclaim your well-being and embrace a brighter, pain-free future.