Conservative Pain Management
Conservative care is the first approach which will help improve many pain problems. Patients are moved from conservative care options to more advanced treatment plans based on how they respond to the initial treatment plan. With the conservative pain management plan, the patient is treated with analgesic medications to allow the body to heal itself. The patients are carefully monitored by the providers and then possibly referred to Physical Therapy to assist in a more rapid recovery. Physical therapy (PT) is often used to help patient’s breakdown scar tissue from an injury or surgery. This combined with conservative medication monitoring can help the patient to be able to function normally and resume daily activities.
There are many different approaches to administer pain medication. Our team of providers uses oral medications, topical creams, gels, and patches. At times a combination of pain medications can be used to help improve a patient’s pain control with minimizing side effects.
Here are some categories of pain medications:
Non-steroidal anti-inflammatory, anti–depressants, anti-convulsant, muscle relaxers, and conservative use of opioids.
We also have patients who may need a spinal infusion of medication that may be necessary to obtain satisfactory pain control.
Injections / Nerve Blocks
We also must approach some chronic pain management patients with injection therapy. This helps in decreasing inflammation and can help with Physical Therapy to achieve pain control. In certain cases, the injections can also help break down scar tissue which then allows the healing to progress.
Implantable Pain Control Devices
Pain pumps and spinal cord stimulators are used in patients to help control severe chronic pain that is not responding to the conservative pain management approach. Dr. Randhawa has been doing these implants for the past 20 years and has great knowledge in regard to controlling severe chronic pain with these methods. Once these devices are implanted our team at BCPC manages the maintenance so that the patient has continued pain relief.