When Should A Pain Medicine Physician Provide Expert Opinion?
Many cases do not conform to a straightforward medical model of disease especially when conditions become chronic and complicated by the development of psychological sequelae such as anxiety, depression and secondary deconditioning. The Pain Medicine Physician is well positioned to provide an excellent overall perspective of more complex cases where pain is a major feature especially the less conventional areas such as Complex Regional Pain Syndrome (CRPS), neuropathic pain, non-organic pain and drug dependency.
Pain Medicine Physicians are able to:
- accurately diagnose Pain related conditions
- give prognosis on Pain related conditions
- assess causality of Pain and Dysfunction
- assess quantum of Pain and Impairment(s)
- determine Maximal Medical Improvement and adequacy of treatment
- predict future medical needs and costs
- give consideration to an individuals past Medical and Psychological History
- explain conflicting medical opinion in relation to Pain Diagnoses
Whenever Pain is a major symptom:
- advise on further treatment and specialist consultations.
- advise on further investigations
- determine causation
- assess contributions of organic and non organic factors
- assess effects of Pain on Employment
Chronic Non Malignant Painful Conditions e.g. Complex Regional Pain Syndrome, Painful Neuropathies, Neuropathic Pain and Nerve Entrapment Syndromes using a combination of drug and interventional treatments.
Spinal Pain not amenable to surgery such as Failed Back Surgery Syndrome, Arachnoiditis, and Degenerative Spinal conditions using a number of treatment modalities including drug treatments, injection techniques, radiofrequency nerve ablation and “advanced” pain therapies such as Spinal Cord Stimulation and Intrathecal Drug Therapy
Pain Syndromes in which an individuals pain is disproportionate to their physical condition by determining the contribution of physical (organic) and psychological (non organic) components of their pain.
Multidisciplinary Pain Management teams of allied health professionals in Pain Management Programmes in which Cognitive and Behavioural Therapy is used to treat individual’s with pain better self manage their condition
Common Examples of Conditions Assessed
- Complex Regional Pain Syndrome (CRPS) type 1 and 2
- Reflex Sympathetic Dystrophy (RSD)
- Sympathetic Dystrophy
- Phantom Pain
- Phantom Limb Pain
- Chest Wall Pain from Mesothelioma
- Neuropathic Pain e.g. Painful Diabetic Neuropathy, Shingles
- Nerve Damage related Pain
- Lumbar, Thoracic and Cervical Spinal Pain
- Referred Pain Syndromes
- Arthritic Pain
- Fear Avoidance Behaviours and Abnormal Illness Behaviours
- Drug therapy for Painful Conditions
- Organic and Non-Organic Pain