Pain Management

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Pain management, pain medicine, pain control or algiatry, is a branch of medicine employing an interdisciplinary approach for easing the suffering and improving the quality of life of those living with chronic pain. The typical pain management team includes medical practitioners, pharmacists, clinical psychologists, physiotherapists, occupational therapists, physician assistants, nurses. The team may also include other mental health specialists and massage therapists. Pain sometimes resolves promptly once the underlying trauma or pathology has healed, and is treated by one practitioner, with drugs such as analgesics and (occasionally) anxiolytics. Effective management of chronic (long-term) pain, however, frequently requires the coordinated efforts of the pain management team. Effective pain management does not mean total eradication of all pain.

Medicine treats injuries and diseases to support and speed healing, and it treats distressing symptoms such as pain to relieve suffering during treatment, healing, and dying. When a painful injury or pathology is resistant to treatment and persists, when pain persists after the injury or pathology has healed, and when medical science cannot identify the cause of pain, the task of medicine is to relieve suffering. Treatment approaches to chronic pain include pharmacological measures, such as analgesics, antidepressants and anticonvulsants, interventional procedures, physical therapy, physical exercise, application of ice and/or heat, and psychological measures, such as biofeedback and cognitive behavioural therapy.

Physical approach:

  • Physical medicine and rehabilitation
  • Exercise interventions
  • TENS (Transcutaneous electrical nerve stimulation)
  • Acupuncture
  • Light therapy

Psychological approach:

  • Cognitive behavioural therapy
  • Hypnosis
  • Mindfulness meditation

Medications:

The World Health Organization (WHO) recommends a pain ladder for managing analgesia. It was first described for use in cancer pain, but it can be used by medical professionals as a general principle when dealing with analgesia for any type of pain. In the treatment of chronic pain, whether due to malignant or benign processes, the three-step WHO Analgesic Ladder provides guidelines for selecting the kind and stepping up the amount of analgesia. The exact medications recommended will vary with the country and the individual treatment centre, but the following gives an example of the WHO approach to treating chronic pain with medications.

Our esteemed journal PULACR is looking forward for the upcoming issue (Volume3: Issue 1) for the upcoming issue as all the authors are invited to submit their recent scientific work through manuscripts in the mode of Research/Case Reports/Case Studies/Reviews/Short Review/ Short Communications/Commentaries/Short Commentaries/Letters to Editor/ Image articles etc.,

Our Journal welcomes submissions of manuscripts on the topics covering Anesthesia ,Anesthetics, Local Anesthesia, Spinal Anesthesia, Critical Care, Perioperative medicine, Airway Management, etc., In the quality perspective, the journal is determined to maintain an exceptionally high standard in both facts and ethics. Accuracy and authenticity in the scientific reports of present journal are conserved above all nominal needs of the time.

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Anesthesiology Case Reports: Open-Access
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