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For Millions Of People Throughout The World, Pain Is Something They Must Live And Cope With Everyday. These People Must Always Be On The Lookout For Proven Ways To Help Control Their Pain. That's Where We Come In. Welcome To PainReliefBasics.com. This Free Information Resource Will Answer All Of Your Questions About Pain Relief, Pain Medication, And Pain Management.

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Chronic Pain: Barriers to Effective Pain Management

Author:
Nicholas Messina M.D.

Chronic pain affects the physical, mental, emotional, and spiritual aspects of a patient's life. Daily non-cancer pain in the elderly has been associated with impaired activities of daily living, change in mood, and decreased involvement in social activities. Chronic pain impairs function, can lead to depression, and can even result in suicidal behavior. Chronic pain due to arthritis affects approximately 20 million Americans. This represents almost 50% of all pain sufferers.

What are the barriers to effective pain management?

Barriers to effective pain management are imposed by the health care system, physicians, and by patients themselves.

Patient Barriers:

-Reluctance to report pain to physicians.

-Reluctance to take pain medication

-Lack of education regarding available pain therapies.

-Compromised cognitive function secondary to certain pain medications.

Physician Barriers :

-Inadequate training and knowledge concerning pain management.

-Improper assessment of pain.

-Concern about scrutiny from regulatory agencies.

-Fear of patient addiction.

-Concern regarding analgesic side effects.

-Concern regarding the development of tolerance to analgesics.

Health Care System Barriers :

-Pain management is given a low priority in the system.

-Treatment availability problems exist in the system.

-Treatment access problems exist in the system.

-Inadequate reimbursement for pain management remains a problem.

-The most appropriate treatment may not be reimbursed or it may be too costly for the patient.

Many arthritis sufferers continue to take anti-inflammatory medications that no longer control their symptoms. Physicians, fearful of regulatory investigation, avoid appropriate treatment while switching patients from on ineffective medication to another. Some patients are forced to consider joint replacements prematurely, due to unrelenting, under-treated pain.

The net result of these barriers is that countless patients are forced to endure life instead of enjoy it. The squeaky wheel gets the oil. If your doctor is unable or unwilling to manage your pain insist on a referral to a pain specialist.

Dr. Messina became a Board Certified Family Practitioner in 1985. He was in solo practice until 1994.He then helped form a group Family Practice in which he served as Vice President.He left group practice in 1997 and became the Medical Director of a Wellness Center. He was responsible for coordinating the efforts of nutritionists, acupuncturists, massage therapists, exercise physiologists, and Chinese medicine practitioners into integrated medical care plans that were individualized to the patient.He became the Medical Director of an independent clinical research facility in 2000. He has been the Principal Investigator in over 50 clinical trials involving osteoarthritis, diabetes, hypertension, hypercholesterolemia, chronic pain, depression, anxiety, dry eye, migraine, and diabetes prevention.He has served as consultant to a nutritional company, and has formulated nutritional supplements.

Visit Dr. Messina's website at:

http://Physicianformulated.com/

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If you like the article above, you may be interested in the following article which is also related to Pain Relief...

Pain, Pain, Go Away - Pain Relief Methods
We have many different kinds of pain; big pain, little pain, headache pain, back pain, muscle pain. We all suffer from some type of pain at some time. You don't need to suffer broken bones or undergo a major operation to experience pain. For most of us, the everyday kinds of aches and pains are already too much for us to handle. Causes Those daily aches and pains can be caused by a number of things. From accidents to musculoskeletal disorders and improper lifting, anything and everything can lead to aches and pains. Aches and pains can also appear out of nowhere, with no obvious cause. When it comes to pain, it's a vicious cycle. Spasm and inflammation lead to more spasm and inflammation. Acute pain can be caused by disease, inflammation, or injury to the tissues. This type of pain usually develops after trauma or surgery and can be accompanied by anxiety or emotional distress. The cause of acute pain can usually be diagnosed and treated. Acute pain is also limited to a certain period of time and severity, but in some rare instances, it may become chronic. Chronic pain can be worsened by environmental and psychological factors. Chronic pain lasts longer than acute pain and resists most medical treatments. Treatment Residents in the United States rank among the highest in the use of over-the-counter pain relievers to help get rid of those daily aches and pains. Most people turn to the usual drugs like aspirin, acetaminophen and ibuprofen. Over-the-counter pain medications have their own benefits and risks: - Acetaminophen (e.g. Tylenol) is used to relieve normal aches and pains like headaches, muscle aches and reducing fever. Acetaminophen does not reduce inflammation, but it is less irritating to the stomach and is safer for children. To avoid possible liver...
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Cut Back on Pain Medication Say New Zealand Chiropractors
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