is Pain Medicine:
110-C Perimeter Park Rd.
Knoxville TN 37922
is pain medicine ?
let's define what it is NOT !
Pain medicine is NOT pain management; pain management is
simply providing some method to relieve pain (e.g. anesthesia,
pills, injections) regardless of the cause of the pain.
Pain Management is not concerned with diagnosis, differential
diagnosis, exploring causes of pain or examining the course of a
pain disorder; it is simply the attempt to reduce pain by whatever
means is chosen, regardless of cause, regardless of any other
Pain medicine is an academic medical specialty involving the study
of pain (Algology) and the DIAGNOSIS and TREATMENT of painful
pain medicine specialist, who should be Board Certified by the
American Board of Pain Medicine (or, in some cases sub-boards of
other areas such as neurology/psychiatry, and rehab medicine), is
interested in both diagnosing and treating (or managing) the pain
pain medicine specialist is also concerned with addressing and
managing those factors which make the pain disorder worse (e.g.
psychiatric issues such as depression and anxiety spectrum
disorders, insomnia, stress reactivity, addiction issues, and
psychological and occupational factors) The pain disorder can be a
chronic arthritic condition, it can be the long term results of
surgical implantation of stabilizing metal, nerve damage, muscle
damage, head injury, or a chronic disease such as diabetes (which
often causes nerve damage in limbs).
medicine specialists use physical examinations, neurological
examinations, history questionnaires and imaging methods (e.g.
ultrasound, MRIs, CT scans), and sometimes electrical nerve studies,
to diagnose the condition causing the patient's pain.
Then, various treatment modalities are brought to target the
pain disorder and its cause (s); these can include pharmacotherapy,
neuropharmacology, injections of joints, muscles, and spinal
targets, and the use of electro-medical modalities ranging from
transcutaneous electrical nerve stimulation (TENS) to P-stim
(peripheral nerve stimulation), and sometimes the surgical
implantation of spinal cord stimulators.
Patients are often referred for physical therapy or provided
with home based physical therapy exercise programs to encourage
movement and activity.
Sometimes opiates are used in severe cases to control pain,
especially for brief periods, and medications that target specific
types of pain are often administered, e.g. anti-spasmodics (muscle
relaxers), anti-inflammatory agents, and neuromodulators that dampen
nerve damage pain.
The adjuvant medications are also called opiate sparing
agents, as they allow pain to be controlled with lower doses and
less side effect load of opiates.
Additionally the pain medicine specialist may detect anxiety
and depressive spectrum illness that has been shown to reduce pain
tolerance; in such cases the patient's anxiety and/or depressive
disorder is treated with medications, or the patient is referred out
the pain medicine specialist is a medical doctor (MD) who is an expert
in the causes and course of painful conditions, and in the diagnosis
and treatment of those conditions using a wide variety of treatment