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Fairview Hospital, a Cleveland Clinic Hospital

 
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        Pain Management
        Clinic Services & Treatment Program

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Clinic Services & Treatment Program

Clinic Services:

  • Comprehensive evaluation of pain problems
  • Consultation for medication tailoring, adjustment
  • Comprehensive cancer pain management 
  • Regional anesthesia – diagnostic and therapeutic nerve blocks 
  • Acute pain service for in-patient population including epidural catheter analgesics 
  • Nursing intervention programs
  • Integrated referrals for: Physical Therapy, Mental Health and Complimentary and Alternative Medicine

Treatment Goals:

  • To identify the medical, physiological and physical needs of the patient with chronic pain
  • To achieve the maximum pain relief possible
  • To learn new, alternative methods of reducing the experience of pain
  • To promote physical, behavioral and emotional health
  • To facilitate the patient’s return to normal life activities
  • To eliminate, when appropriate, the use of addictive pain medications

The Evaluation Process:

  • Complete medical history and physical examination
  • Diagnostic and/or therapeutic nerve blocks
  • Referral for specialized diagnostic evaluations: MRI, Nerve Conduction Studies, EMG Studies, psychological and behavioral evaluation if indicated

Treatment Program:

The Pain Management program may include any of the following components integrated into an individualized treatment plan.

Interventional Pain Management:

  • Regional nerve blocks: intrathecal, celiac, sympathetic, hypogastric plexus and ganglion impar
  • Epidural steroid blocks
  • Myofascial or trigger point blocks
  • Botox Injections
  • Spinal Cord Stimulator Implants
  • Pain Pump Implants
  • Accupuncture
  • Radio frequency lesioning

Nursing Interventions:

  • Pain control education
  • Muscle relaxation
  • Self-hypnosis, imagery

Referral Treatments:

  • Physical Therapy
  • TENS Therapy
  • Complimentary and alternative medicine
  • Biofeedback Therapy
  • Counseling
  • Stress Management
  • Bracing
  • Orthotics
Types of Pain

 

There are generally two types of pain -- acute pain and chronic pain.  We hope these descriptions will help you understand the type of pain you have.
 
 
Acute Pain
Acute pain is temporary.  It may last from a few seconds to several months.  It usually goes away as normal healing occurs.  Pain due to an injury or pain due to childbirth are examples of acute pain.
Pain after a surgical procedure is also called acute pain.  This type of pain is called post-operative pain.  Pain after surgery is not something that you "just have to put up with."  Your doctors and nurses want you to be comfortable after surgery.  They will ask you questions about where you feel the pain, how long it lasts and what causes the pain to increase or decrease.
Controlling pain after your surgery is very important to your recovery.  With less pain you can start walking sooner, do your breathing exercises better, and may even leave the hospital sooner.  Patients whose pain is well controlled after surgery may avoid some complications, such as pneumonia and blood clots.
There are different methods and treatment options for relieving your pain. 
 
 
Chronic Pain
Chronic pain lasts long beyond the time of normal healing.  Chronic pain may be the result of an injury that did not heal properly or may be due to other reasons such as nerve damage, cancer or arthritis.  In some cases, the exact cause may not be known.  The pain may be constant, lasting six months or longer or it may even come and go for months or years.  Neck pain, lower back pain and migraine headaches are examples of chronic pain.
Chronic pain affects many people.  It is one of the major reasons for disability in the United States.  Chronic pain can make it difficult or even impossible for you to lead a normal lifestyle.  Pain interferes with many aspects of your life -- physical, psychological, social and occupational.  Dealing with chronic pain may make you feel depressed and it could change or sleeping or eating habits.  There are a variety of treatment options and resources available for people with chronic pain.
 

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