Pain Management Knowledge and alternative treatments

January 26, 2010 by admin · Leave a Comment
Filed under: Pain Management Pinellas 

Pain Management is a very competitive field. Patients look for compassionated doctors who listen to their issues. Most chronic pain patients live with their pain for more than six months and understand their issues, doctors don’t need to explain the pain issue again and again.
Doctors can pay attention to the patient’s progress month to month, and listen to the patients, may be re-phrase the patient’s complaints.
Patients need to gain more knowledge of the pain by reading books, internet medical articles, positive attitude, search or google wikipedia for alternative methods to control the pain. The best approach probably creates a pain chart logging daily activity and pain levels. And bring your daily pain chart to your doctor appointment, showing him or her you are serious about tracking and controlling your pain issue.
Patients need to have a strong positive attitude, it is not easy, but positive thinking surely help in the long run.
Patients should check in to meditation, breathing exercises, to bring fresh oxygenated air in to your cells, your muscles and your brain. Meditation can be accomplished slowly at your own pace, but do it regularly even just five or ten minutes a day.
Please consult with your physician about your medical condition, everyone is in a different medical condition. Never base your decision about your health on the internet.
Pain Management at Park Blvd, Pinellas Park, FL 33781, 727 548-1111

Why Certain Drug Combinations Backfire

November 16, 2009 by admin · Leave a Comment
Filed under: Uncategorized 

For instance, doctors treat extensively drug resistant forms of tuberculosis with one drug that breaks down the pathogen’s protective barriers and opens the door for another to deliver the deathblow. According to first author and research fellow in systems biology Tobias Bollenbach, clinical researchers are primarily interested in drugs that together work better than either alone, and so studies tend to focus on explaining some of the mechanisms behind synergistic drug pairings. One class of drugs he investigated interrupts the replication of DNA and the other blocks the manufacture of proteins. When the team added the additional stress of a protein-synthesis inhibiting drug, such as Tetracycline, instead of causing the cells more trouble, the second drug counteracted the overproduction of ribosomes and proteins. As a result, the cells could more easily withstand the assault of the first drug, yet succumbed to the second, completely removing the strong antagonism between the drugs. Kishony recently received a federal stimulus grant to pursue a study that explores the genetic determinants of drug interactions more broadly and investigates whether cells can be synthetically manipulated to change the way drugs interact.

Pain Management looks into Chronic Pain alternatives

October 19, 2009 by admin · Leave a Comment
Filed under: Pain Management Pinellas 

Healthcare Reform

While healthcare reform seems to be at the forefront of the news lately, the focus is only on changing where the money is coming from. There doesn’t seem to be a real discussion about what the money is for. Will it cover a pre-existing condition? What treatments will be available? How much will have to be paid out of pocket? Will everyone qualify? This is for information only, please consult with your physician for all medical concerns.

Chronic Pain

There are more than 16 million American living in severe poverty. That’s the highest number in thirty-two years. There’s little money for the essentials, let alone insurance and healthcare costs. Many of those also suffer major medical problems, one of the worst being chronic pain which is often a secondary problem due to the types of jobs, diseases, and the higher instances of crime in lower income areas. While most poor Americans qualify, the current systems of Medicaid and Medicare only cover a limited number of treatments alternatives for chronic pain. Under this system, the time it takes just to see a doctor is often anywhere from days to months. Then there’s the possibility of being referred to a specialist, which will take more time and money. Drug therapy is the primary treatment used to combat pain. But because it is so difficult to see a doctor for a refill, many patients resort to the emergency room as a means to get the medications, usually narcotics, to fight the pain.

So on top of the original condition and the chronic pain that follows, there’s a third problem: Addiction. No one listens to a poor person with an addiction to pain medicines. It’s become a stigma. Others look at them as the cause of the healthcare crisis. They abuse the system looking for a fix instead of getting a job and their own insurance. Don’t they have other options? Do they?

They should. Chronic pain is a real issue in today’s current medical system. Treating chronic pain is another problem altogether. Medication is often the first choice for treatment, sometimes with or without other treatments such as physical therapy. But narcotics designed for chronic pain may have many side effects. They are meant to solve a short-term problem such as a broken leg or post-surgical pain. The main concern with narcotics is that they are addictive and tolerance often starts after only a few weeks, leaving patients looking for stronger doses or more potent narcotics. This dependency on narcotics is becoming such a widespread epidemic-like problem. There are other medications which have been used such as prescription sleep-aides, antidepressants, anti-epileptics, muscle, relaxers, and steroids. All have risk of tolerance and dependency and some cause further complications like seizures or insomnia.

Alternatives to Traditional Pain Medications

But there are alternatives to chemical-based medications. There are several alternative treatments available to treat several ailments, including chronic pain. A natropathic physician is a medical doctor who specializes in alternative therapies. While most doctors treat symptoms, a natropathic physician will also look at the whole body, treating any underlying conditions, changing the diet, and possibly even offer counseling services to deal with the pain and addiction. They will often refer patients to those who specialize in each field. They may even recommend herbs as an alternative to drugs to help the severity of pain during treatment.

There are a small group of herbs such as black haw, vervain, and white willow that can treat pain. But like chemical-based medications, herbs can have several side effects. Vervain in particular can depress the heart rate and constrict the bronchial passages. The main issue is that herbs as a medical treatment are not currently regulated by the FDA which means dosing is not regulated. However, since herbs have been used for centuries in many countries around the world, there is a basic idea of how much, what route, and most side effects are well known and documented. The chances of dependency and tolerance are also lower. The other drawback is that not all herbs and herbalists who can prepare them are easy to come by. They can be purchased over the Internet, but the poor often don’t always have Internet access or a credit card to purchase them with.

Other herbal therapies include oils such as allspice, cinnamon, clove, mint, and tarragon oils that can be used as a topical anesthetic. These are only used topically on the skin, rubbed into area of pain. The main side effects are redness to the skin and possible allergic reaction. They also only work for a short amount of time and can be expensive.

As mentioned above, there are other alternatives to medication of any kind altogether. The best therapies, such as yoga and acupuncture are generally inexpensive, minimally invasive, and drug-free. However, while most are not currently covered by insurance, the long-term expense is often lower than chemical therapy. This makes out of pocket expense less and the likelihood that these therapies will be approved for insurance coverage in the near future.

Chiropractic therapy is always at the top of the list. Chiropractic practice is basically spinal manipulation used to adjust the spine into ‘homeostasis‘ thereby relieving pain without the use of medicine. The problem is that almost every Chiropractor has a different technique and often has a risk of spinal damage and occurence of new injury. Many insurance companies cover treatment, but only a certain amount a year, which often means the rest will be the patient’s responsibility. Several chiropractors offer payment options and don’t always use credit as a factor.

Acupuncture is another alternative with promising results and fewer side effects. It’s becoming such a popular alternative that insurance companies are making it the most insured complementary therapy as well as affordable. It’s also proving to be very effective. Acupuncture is performed by inserting hair-sized needles into certain sites all over the body to help relieve pain as well as treating other ailments. There are few side effects including temporary pain at the site where the needle is placed, and mild redness after the needle is removed.

Another recently popular therapy is yoga. Yoga is a series of movements that increase circulation and flexibility, but also strengthen muscles, joints, and bones. Certain poses have been proven to treat chronic pain by making the body stronger. Yoga is a cheap alternative as classes are usually affordable and offered all over the country now. While videos, books, and web sites can teach yoga, for pain relief, a live teacher is recommended to teach the poses properly so as to not injure the body further. The obvious side effects are similar to that of chiropractic treatment with further injury to the body. Yoga is also not recommended for all types of chronic pain. Consulting a yoga teacher before practicing yoga is best.

While medication and other chemical therapies are still the standard for chronic pain management, there is a whole world of alternative therapies that are usually more effective and more cost-efficient. This is only a small list of what can be offered. While most insurance companies still don’t recognize the use of alternative therapy, the out of pocket expense is still low. The other drawback is the stigma that alternative medicine still has. People tend to forget that there way a time when herbs were the only methods of treating any ailment. Acupuncture and yoga have been around for thousands of years, meaning their practice is well studied and mastered.

The problem is getting the poor person out of the rut of pain medications and into an active, more productive lifestyle again. Narcotics do work but have side effects. Shuffling from one doctor to another does not work. Alternative treatments can be good compliments to traditional pain medications. Treating the patient and not the symptom can work. It’s not more insurance that needed. It’s a system with better alternatives available to every patient regardless of income, social standing, and current insurance coverage. It would reduce overall cost, lower emergency room visits, and allow people to get their lives back.

Lifestyle, Pain and The Prevention And Treatment Of Cancer

September 27, 2009 by admin · Leave a Comment
Filed under: Pain Management Pinellas 

Pain management doctors in Pinellas would like to know how lifestyle of an individual affects the outcome of cancer pain patients. Clearly lifestyle choices affect the incidence and treatment of cancer , according to a study published by AJLM. The article “Lifestyle Interventions in the Prevention and Treatment of Cancer” looks at recent research on the five most common forms of cancer (lung, colorectal, breast, prostate and skin) and how some risk factors for these cancers can be lifestyle based and therefore controllable through alterations in human behavior. There is more studies needed to help the vast population understanding our pain patients. Pain management is not new, pain patients do not have to suffer in silence. Pain patients need to tell how they feel about excruciating pain, the more people know about pain, more people will accept that pain is a serious conditions that need to be consistently monitored and treated. Hospitals and medical staffs do no good to anybody by under treat pain management. It should be a malpractice to neglect or under treat pain. Hospitals and medical staffs need to spend time and explain in detail all alternatives and treat pain patients with the utmost care.
Please consult your physician for any medical condition. We are proud to serve our community and discuss with you about chronic pain. Phone 727 548-1111

Questions to ask Pain Management Office

September 3, 2009 by admin · Leave a Comment
Filed under: Pain Management Pinellas 

Questions for Pain Management Offices/Centers

A few days before your initial appoinment, you need to ask the staff or the manager. You may want to talk with your doctor to determine what his or her opinion is of pain treatment. Here are a few questions that may be pertinent to ask when inquiring about a pain management office center.

* What types of MRI regarding pain treatment does the office need to have?
* How will my family be involved in the treatment process?
* Do you offer other types of treatments?
* Do you references?
* What does it cost per visit?
* Has anyone ever been through the program with my specific pain condition? What was the result?
* How is prescription fill?
* What medical treatment methods does your facility provide?
* Can my insurance be used to pay for your facility?
* Does your facility provide non-medical treatments for pain?
* Do you accept PIP insurance?
* What are the qualifications of the staff assisting with chronic pain in residents?
* How long do most pain patients wait?
* Why should I attend your pain management?

In addition to the questions listed above, you may ask about pharmacy coupons, discounts?

Pain Management doctors of Pinellas and Tampa office is at 6251 Park Blvd suite 1, Pinellas Park, FLorida
Office hours 9 to 6 PM by appointment only.

Back Pain

August 30, 2009 by admin · Comments Off
Filed under: Pain Management Pinellas, Tampa Pain Management Doctors 

The back is most complex structures of human with lots of bones.
Four out of five workers suffers back pain during their work life. That is a lot of back pain. Work related back pain is the most common disorders. This injury will prevent people return to work; causes employers a lot of nervous and headache. The employers are not sure whether my reliable workers will show up for work today;
How do I schedule for the rest of the week? Who will be here? and who will be absent?
This is one of the most common challenges both employers and employees have to deal with.

Back pain is most often felt in the lower back, sometimes it is acute and then continuously progress to chronic pain. Chronic pain can come and go for awhile. Chronic pain increases its frequency month to month and week to week. Any little motion can start a chronic pain after a while.
There are 24 or 25 bones forming out back, just imagine that you stack the bones up and ensure that they stay up properly when you twist and turn. That is a difficult task.
The muscles and ligaments form around the bones and keep the bone in place after all the twists and turns.
Despite modern technology, the exact causes of back pain are hard to pinpoint because there are a lot causes and effects related to back pain.

Pain Management Options
More than $55 Billions are spent on back pain diagnosis and treatments. Surgery, medications, physical therapy and acupuncture.
All treatments work with some people, but there is no one single treatment is the preferred choice. Surgery is expensive. Medications can control pain and relief anxieties, give your control back to your normal life, however medications have side effects. If you have ulcers or bleeding, do not just use over the counter medications, consult with a physicians first. Physical exercise is good for long term, you have to try with small steps, the key is to continue pushing daily.
Back pain is very common and you can be treated at Pain Management Doctors Tampa, You don’t have to suffer alone, you deserve a good understanding staff of pain management. We are here for YOU.

Back Pain Questions lost works

August 21, 2009 by admin · Leave a Comment
Filed under: Pain Management Pinellas 

Pain Management doctors Pinellas and back pain.
Toughest pain to get out of bed in the morning.
Pain in the back, also known as dorsalgia, accounts for a large number of lost days at work and frequent visits to the physician. Back pain is so common that it is, more often than not, given disregard by the patients themselves. However, pain, regardless of where it is felt, is a warning sign that should be given prompt attention to prevent it from worsening and to detect the underlying cause. It is a symptom, not a disease in itself, which should stand for a red flag for everybody.
Back pain may either be acute, sub-acute, or chronic. Acute pain is felt for less than 4 weeks, sub-acute pain 4-12 weeks, and chronic pain, which is pain lasting beyond 12 weeks. Anatomically, back pain can be subdivided into neck pain, upper back pain, and lower back pain. Back pain, regardless of its location and duration, has to be evaluated by a physician in order to determine underlying causes that may or may not be life-threatening. Listening to the warning signs given by a back pain can help you address possible medical problems such as kidney diseases, abdominal aortic aneurysm and appendicitis.
As such, diagnostic procedures are in order for every determination of medical condition. The following will be employed in order to determine the cause of your back pain:
* Physical examination and an interview to secure a thorough medical history, so it is important not to leave out any condition/s you have or have had, including medications you are taking or have taken.
* Spinal X-ray, although this will be useless in the evaluation within the first 30 days from pain onset.
* MRI scans to determine tumors, fractures, or infections.
* Myelogram, when an MRI is not desirable.
* CT scan of the spine.
* Nerve tests e.g. electromyogram.

In treating back pain, it is of utmost importance to identify the underlying cause. However, treating the back pain as a symptom is also of equal importance. Non-prescription meds such as NSAIDS (commonly ibuprofen), will be beneficial in short-term pain relief. Consequently, as NSAIDS erode the stomach lining, caution should be taken in taking these types of analgesics. Make sure that you have eaten before taking one. Acetaminophens, such as Tylenol, will provide a good substitute for NSAIDS. Still, there?s a caveat: Acetaminophens thin the blood. If you have a clotting disorder, this is not for you. Opioid analgesics are discouraged. It may cause sedation and may afford you longer pain relief, but the danger lies in the risk for dependence.
Non-pharmacological means of pain relief will provide a good complement to any pain relief regimen. The use of intermittent heat and cold application, though not widely given credence, is found to be effective for some people. Just make sure that both hot and cold packs are not applied directly to the skin in order to avoid skin injury.
Bedrest may seem beneficial, but not if it is prolonged. Patients should take bedrest for up to 48 hours only. Any longer than that will put you at increased risk for deep vein thrombosis, a disorder attributed to immobility in which clots are formed in the deep veins of the legs, compromising venous circulation. Also, prolonged bedrest can lead to even more pain, as it can lead to contractures and muscle tension. You may return to your normal activities as you can tolerate, and make sure you are not pushing yourself beyond your limits. Increase your activities gradually. Ask for help in performing physical activities from your family.
The attainment of pain relief will surely seem a long way from where you are now, but getting there quickly will most likely afford you none. Surgery, seen by most as a sure-fire way of getting rid of pain quickly, is not a solution worth spending a fortune for. Surgery is useless for acute back pain. Unless you are in a medical emergency, such as cauda equina syndrome in which spinal disc material expands into the spine and causes nerve compression, surgery is out of the question. Again, patience coupled with a dedication to your pain relief regimen will help you live with pain and conduct a normal life without having to give up your usual activities.
Pain Management Doctors Tampa Pinellas 727 548-1111

How To Make Pain Management Doctor Run - Part I

August 6, 2009 by admin · Leave a Comment
Filed under: Pain Management Pinellas 

Pain Management Pinellas/Tampa, our office knows a lot of things, seeing a doctor is the most stressful time of the day. We went to our dentist because we had to, we don’t get up in the morning and say: “I have fun letting stranger poke metal in my mouth”. Seeing a pain doctor is the same thing. We don’t know whether the doctor has a good day or not.
So here are a few tips to make your doctor running from you.

1. BAD MOUTH
You want to build a good relationship with the doctor and the medical assistants. The medical assistant can say positive things about you which give you points toward your behavior. Everybody can have a bad day, just don’t cary it to the office. We want to give you utmost care and fast services at our facility.

2. CLEANLINESS
On average, the doctor sees about twenty to thirty patients a day. One way to stand out from the crowd is to come in smell badly. That will make your doctor really wants to run from you. Please take a good twenty minute shower before your doctor appointment.

3. CONTINUOUS TALKING
My mother tells me that I can tell a story in two minutes, after that nothing is more important. Practice this at home, see how do you repeat yourself after two minutes. Your doctor needs to know your conditions, but tell her/him in two minutes, and give your doctor time to think. Your doctor will want to run from you, if you keep repeating yourself, there are enough time in two to five minutes, to tell a life story.

4. KNOW YOUR DAILY INTAKE
Be prepared, be prepared. That is the most simple advice, we can give you. You will be asked how many pills do you take a day. You should be able answer it correctly and fast. Please do not use “new” math. Doctor sees twenty four patients a day and five days a week. That is a hundred twenty patients a week. Doctor knows when you are not telling the truth.
Avoid this common mistakes, dress up and come see us.
These are some common sense advices, you can visit us at painmanagementdoctorstampa or cal (727) 548-1111 Pain management in Pinellas /Tampa

Latest Technologies in Pain Management

August 2, 2009 by admin · Leave a Comment
Filed under: Tampa Pain Management Clinics 

Pain Management Doctors Tampa researches new technology helping patients.
Physical pain is a reality of life. Pain is a warning sign for us to pay attention to something will happen next. Pain management promotes you to be the manager of your body functions. The latest technology is spinal cord stimulation (SCS). How does this technology work? Does it have any connections with the popular government Stimulus program? Visit the office at www.painmanagementdoctorstampa.com and we can discuss it more.
Pain is always an unpleasant sensory experience. It is called the fifth vital sign. For health care workers, it should mean that pain assessment should be as automatic and as routine as taking a patient’s blood pressure.
There are countless conditions that cause intractable pain. Cancer, physical trauma, arthritis, HIV, and surgery cause pain so great as to warrant management that extends beyond hospital confinement.
A lot of treatment options are now at the disposal of every patient. Depending on the person’s pain threshold and the extent of tissue damage or progression of disease, a single modality or a combination of modalities may be used to counter the pain.

PHARMACOLOGIC INTERVENTION
Pain medications have proven successful in providing analgesia. Still, medications are not without side effects. Typical pain meds are classified as:
• NSAIDS (non-steroidal anti-inflammatory drugs) e.g. Ibuprofen - these drugs ease inflammation by inhibiting prostaglandin synthesis. Prostaglandins are responsible for the production of pain sensation
• Narcotic analgesics e.g. morphine - these types of drugs reduce stimuli from sensory nerve endings and increases pain threshold
• Anticonvulsants, anti-depressants - used when opioids are ineffective
• PCA (Patient-controlled analgesia) – uses an electronically-controlled pump to deliver safe and pre-determined amounts of infusions. At times of breakthrough pain or when the patient experiences a spike in pain sensation, the patient may self-administer an extra infusion.

PSYCHOLOGIC MEASURES
A number of measures aimed at targeting the mind to deal and live with pain:
• Relaxation
• Biofeedback
• Cognitive-behavioral therapy
• Hypnosis
• Group therapy
• Behavioral therapy
• Individual therapy
• Guided imagery

CUTANEOUS STIMULATION
It is simply stimulation of the skin. The stimulation of skin that produces non-painful stimuli can block the transmission of pain. Several measures are:
• Massages
• Heat and cold application
• TENS (Trans-cutaneous Electrical Nerve Stimulation) - application of electrodes to the skin that produce a pleasant tingling or vibrating sensation

ALTERNATIVE THERAPIES
Alternative therapies abound and have actually been around for very long, accounting for the large number of its followers. These therapies’ efficacy lies in its thrust towards stress reduction. Some of these therapies include:
• Acupuncture/ Acupressure
• Aromatherapy
Homeopathy
• Music therapy
• Magnetic therapy, etc.

NEW TECHNOLOGIES
Here come the new technology, that we save for last. Spinal Cord Stimulation, or SCS, is a relatively new treatment option that has been proven to be successful in providing pain relief for chronic back pain sufferers.
Its concept is much like in TENS, as a surgically-implanted device delivers an unpleasant tingling sensation that blocks off pain. Before it is implemented, the patient undergoes a trial period in which a device is implanted for 24 hours or more in order to determine if the patient actually receives pain relief. Also, this option is not for everybody. Patients who have existing pacemakers are not allowed to become candidates for spinal cord stimulation. Patients with pre-existing medical conditions also need to consult with their specialist if they can be ready candidates.
Whatever modality the patient chooses, it is always best to consult with the doctor in order to determine the best, most cost-effective and convenient method for the patient. Self-education will also help one in understanding a patient’s own pain response and threshold. A patient can always be in constant collaboration with his physician, but it is doubly important that the patient knows what triggers his pain and what relieves it in order to trample it over. Please give us a call (727) 548-1111 for your pain relief.

Pain Management new doctor affordable fast passoniate

July 31, 2009 by admin · Leave a Comment
Filed under: Tampa Pain Management Clinics 

New Doctor and Pain Management Medical Service in Tampa Bay area offering medical advices, tests, maintain pain control and much more!

The Pain Mgmt Corporation announces our new medical doctor, Gorrell (MD), to serve pain patients in the Tampa Bay area and vicinity. The new doctor dedicates his time and full of energy to serve our current and new patients. The doctor provides personal attention to individual patients.

Our dynamic company focuses on serving our patients with affordable low cost and fast service. We believe that our service is valuable because our patients do not wait a long time to see our doctor.

As a small dynamic Pain Management service, we provide exceptional service at a price that big offices cannot touch.
Our doctor asks open ended questions, listens to patients. Dr. Gorrell is an excellent doctor. He has compassion and has high integrity.

Our doctor treats patient with dignity and prescribes according to patient’s needs. That is unique and utmost important. No doctor shall prescribe according to patient’s wants.

As all smal service organizations, we know that we are not perfect and may be far from perfect, but we strive to provide excellent customer services as a small service company. We don’t have 800 number.
We want to build our reputation as a small service organization with fast and affordable cost to our community. We wath our fixed cost and our variable cost so we can provide services at affordable prices.

Pain Management Doctors Tampa provides services on appoinment basis, and our customers call to make appointment and our medial assistants explains the four items which patients need to have for the first consultation visit.
We treat a variety of patients with back pain, neck, shoulders pain, soreness, numbness, stabbing pain, dullness, myofascial pain syndrome, etc…

You can find our office on the web at http://www.painmanagementdoctorstampa.com or contact us at support@painmanagementdoctorstampa.com or call our phone number 727 -548-1111 or 727-623-2256

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