Pain Management Strategies for Chronic Conditions

Aug 13, 2024

Chronic pain is difficult to manage for those who experience it, and medical professionals are dedicated to helping them find relief. As healthcare providers, you play a crucial role in improving patients' quality of life. However, a phenomenon known as central sensitization can make it challenging to pinpoint the exact source of chronic pain.

Imagine a city with only one highway entering it. Now imagine that as the city expands, several highways are constructed to connect it to outside areas. Like this, as pain grows and manifests, it might be challenging to identify the precise site of the issue because there are several routes at play. Read on to learn how to help with pain from chronic conditions.

An interdisciplinary approach

An interdisciplinary approach brings together doctors, pain specialists, physical therapists, psychologists and occupational therapists, creating a care team that addresses all aspects of a patient's pain.

You begin this approach with a thorough assessment. Understanding the causes of pain and its impact on a patient's life is crucial in addressing the issue. Patient histories, physical exams, and, when necessary, diagnostic tests help us paint a complete picture. Keeping the patient informed ensures they feel confident their concerns are being addressed.

While the issue is being worked on, the patient may want to manage the pain themselves to keep it under control. Self-management programs teach techniques like pacing activities, relaxation exercises and cognitive-behavioral strategies.

Pharmacological choices

Medications are a great way to manage pain, but the prescription depends on the person. When used in the right way, opioids can be beneficial. However, close observation is necessary to lower the possibility of addiction and adverse effects. The goal is to determine the least amount of medication that will work for the least amount of time. Other medicines include acetaminophen, topical analgesics and muscle relaxers.

Other techniques

Non-pharmacological treatments are good options against chronic pain. They complement medications, offering additional relief.

Physical therapy isn't just about exercises; it's about restoring movement and strength. Techniques, including stretching, strengthening exercises and manual therapy, help reduce pain and improve their functionality. Regular physical activity, like walking or swimming, is also recommended.

Several factors can intensify the perception of pain, making chronic pain detrimental to a patient's mental health and quality of life. Stressful life events, mental health challenges like depression and anxiety, social isolation, reduced ability to participate in enjoyable activities, and both overexertion and underexertion can all contribute. Since pain is a subjective and personal experience, there is no diagnostic test that can accurately measure your pain level. To assist in evaluating and documenting your symptoms, your healthcare team might ask you to rate your pain on a scale from 0 to 10.

Trying to minimize these factors may help with the pain. Here are some ways to help:

  • Cognitive-behavioral therapy
  • Acupuncture
  • Chiropractic care
  • Massage therapy
  • One or more of these may help the patient improve their quality of life.

Conclusion

A patient's quality of life can be greatly impacted by managing their chronic pain, which can influence almost every part of their daily routine. Patients typically characterize their experience as not really living, but just existing in pain. Direct them to the right place to begin, giving them reliable information and figuring out the best course of action for them.