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Pain Management

Your Health. Your Hospital

Pain management (algiatry or pain medicine) is an interdisciplinary medical approach that aims ease of suffering and improvement of the quality of life for patients whose life is overshadowed by pain, especially chronic pain.

An Effective Technique for Each Type of Pain

The pain management techniques our physicians employ include innovative medical procedures such as ultrasound-guided injections and biofeedback

Pain management practitioners come from all fields of medicine, and usually work in coordinated teams that are not strictly limited to doctors, but also include:

  • pharmacists
  • clinical psychologists
  • physiotherapists
  • occupational therapists
  • physician assistants
  • nurse practitioners
  • clinical nurse specialists
  • mental-health specialists
  • massage therapists

Multimodal Treatment Approach

Our specialists will efficiently attend to all sources of pain by using a physical, psychological, and pharmacological approach

Relief from suffering might become a necessary step in the healing process for many different reasons. Some of these include:

  • treatment of injury and pathology
  • speeding up the healing process
  • persistent pain after healing of injury of pathology
  • difficulty in identifying the underlying cause of pain

Sources of pain are of many different types, and accordingly, treatment approaches to chronic pain vary depending on these. Treatment types include:

  • pharmacological measures
  • interventional procedures
  • physical therapy and exercise
  • psychological measures

Pain physicians at Cedars Sinai Marina del Rey Hospital are in many cases fellowship-trained certified anesthesiologists, neurologists, physiatrists, or psychiatrists.

Pain management uses an interdisciplinary or multidisciplinary approach to ease pain, and this is also true for the physical approach of pain management. To be effective in their pursuit of a pain-free life for their patients, pain physicians at Cedars Sinai Marina Del Rey Hospital make use of many diverse physical techniques, therapeutic exercise, and behavioral therapy, sometimes on their own, sometimes in combination with interventional techniques and conventional pharmacotherapy:

  • Acupuncture
  • Cortisone injections
  • Interventional Physiatry – Steroid injections
  • Light therapy
  • ONS Physiatry (or physical medicine and rehabilitation)
  • PRP (Platelet Rich Plasma)
  • TENS (Transcutaneous electrical nerve stimulation)
  • Ultrasound-guided injections
  • Viscosupplementation

Though diverse and capable of offering efficient pain relief, the physical approach is not always enough and needs to be completed or replaced by other types of treatment.

Psychology uses the patients’ ability to understand the relationship between physiology, thoughts, emotions, and behavior. This kind of understanding may work in the favor of chronic pain patients, and help them speed up pain relief and restoration of the quality of life. Psychological methods used in pain management include:

  • Cognitive-behavioral therapy (CBT)
  • Hypnosis
  • Relaxation therapy, such as meditation
  • Biofeedback
  • Imagery

Guidelines for the pharmacological treatment of chronic pain are provided by the three-step WHO Analgesic Ladder for selecting the type and stepping up the amount of analgesia. The exact medication schedule recommended is different in every country and treatment center, but the build-up from the simplest treatment to more complex steps is general to the WHO approach. If any given medication treatment proves to be insufficient, the physician will recommend moving onto the next step. Types of pain medication include:

  • Non-steroidal anti-inflammatory drugs (NSAIDs)
  • Corticosteroids
  • Acetaminophen
  • Opioids
  • Muscle relaxants
  • Anti-anxiety drugs
  • Antidepressants
  • Anticonvulsant drugs

These pain medications can be classified into two categories:

  • prescription drugs
  • nonprescription drugs

Nonprescription drugs are mostly used in short-term, acute pain, but some are also used for relieving chronic pain. Prescription drugs form an extensive group and are usually substances that were not originally developed as pain killers, but have pain-relieving properties.

Some types of medication may induce dependence, while others need continuous dose escalation to produce the expected pain-relieving effect. Pain physicians at Cedars Sinai Marina del Rey Hospital are well-prepared specialists, who are completely aware of the responsibility they bear in choosing the right medication for each and every chronic paint patient.

We Play an Active Role in Our Community

Through general lectures and events for patients and residents, seminars for therapists, and meetings with doctors and staff. Register for a seminar or join us for a special event at Marina Del Rey Hospital.

Frequently Asked Questions

Some of the reasons why you feel pain even though you are not injured are fear, stress, neglect, abuse, trauma, emotional discomfort, etc.

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There are many factors that can contribute to the persistence of pain such as amputation, stress, panic, emotions, behavior, etc.

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You should see a pain specialist when you suffer from pain that does not go away, acute or chronic.

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Pain can be treated with one of the following methods acupuncture to light therapy, meditation, medication, physical therapy, electrical stimulation, interventional procedures, hypnosis even psychological support.

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Chronic pain of physical causes is best avoided by treating the acute pain immediately.

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