Pain management

by Super User

Pain after injury, surgery or secondary to a degenerative process is commonplace.  For the majority of patients, this can be diagnosed, treated and well managed.  In some patients however, effective pain management can be challenging.  In this group, the solution may be elusive, despite a barrage of investigations, or treatment that has been delivered and has not achieved what was expected.

The impact of pain begins to slowly erode into all aspects of the patient’s life.  Initially this may present as minor changes in movement to avoid potential flare-up, for example stop exercising or taking public transport.  Unknowingly a person may withdraw socially avoiding situations where the pain may interfere. There may be early signs of tension developing in relationships or confidence being affected.  Despite this, the majority of patients remain determined to stay in work and to maintain function.  This can be maintained provided pain is well controlled, but irrespective of the patients resolve, when pain is unremitting the consequences take their toll.

The Improving outcomes program at the London Physiotherapy and Wellness Clinic aims to address these aspects of the patients well-being and provide a holistic, integrated and tailored package to ensure recovery.

Key elements of the programme will be to

  • Identify the pain problem
  • Provide an explanation of the pain process
  • Optimise function
  • Choose appropriate adjuncts in pain control
  • Identify and agree goals
  • Realign expectations
  • Provide reassurance
  • Promote self-management and autonomy

Additionally patients on entering the programme will be scored with a variety of tools that address pain, movement and effectiveness of treatment. Repeat scoring will be carried out at the end of the programme and patients will take home a record of their achievements along with recommendations for flare up management.