9^th International Anesthesia and Pain Medicine Conference

Basics of Pain Management and Rehabilitation

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Pain medicine is a branch of medicine employing an interdisciplinary approach for easing the suffering and improving the quality of life of those living with pain. The typical pain management team includes medical practitioners, Pharmacists, Clinical Psychologist, occupational therapists, physician assistant, nurse practitioners and clinical nurse specialists.Pain can be managed using pharmacological or interventional procedures by using pain reliefs. There are many interventional procedures typically used for chronic back pain include epidural steroid injections, facet joint Injections, neurolytic blocks, spinal cord stimulators and intrathecal drug delivery system implants. The Management goals when treating back pain are to achieve maximal reduction in pain intensity as rapidly as possible, to restore the individual’s ability to function in everyday activities, to help the patient cope with residual pain, to assess for side effects of therapy, and to facilitate the patient’s passage through the legal and socioeconomic impediments to recovery. For many the goal is to keep the pain to a manageable level to progress with rehabilitation, which can then lead to long term pain relief.  Also, for some people the goal is to use non-surgical therapies to manage the pain and avoid major surgery, while for others surgery may be the quickest way to feel better. Migraines typically present with self-limited, recurrent severe headache associated with autonomic symptoms. About 15-30% of people with migraines experience migraines with an aura. And those who have migraines with aura also frequently have migraines without aura. There are four possible phases of Headache:  The Prodrome, which occur hours or days before the headache, The aura, which immediately precedes the headache,  The pain phase also known as headache phase,  The postdrome, the effects experienced following the end of a migraine attack.