1.18 CME

Chronic Pain: Diagnosis and Management Strategies

Speaker: Dr. Amod Manocha

Chief Pain Management, Palliative Care Specialist & Educator, Max Healthcare, Delhi

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Description

The syndrome includes a broad spectrum of chronic pain that lasts longer than three to six months and frequently stems from an injury, illness, or other unidentified cause. An individual's quality of life can be severely compromised by chronic pain, which can result in physical limits, emotional misery, and social isolation. Furthermore, inadequate diagnosis and treatment of chronic pain can exacerbate opioid use disorders and raise the rates of morbidity and death in those who experience it. As a result, medical practitioners need to comprehend chronic pain and use the right treatment plans. Healthcare workers will leave this workshop with a thorough grasp of chronic pain, including how it is evaluated and treated. The many facets of chronic pain are examined by the participants, along with the underlying causes, diagnostic methods, and evidence-based treatments.

Summary Listen

  • The speaker aims to provide a broad overview of chronic pain management, highlighting what chronic pain physicians can offer patients in the community. They use a series of carefully selected cases, many of which were previously considered untreatable, to illustrate various pain management approaches. These cases involve diverse patient profiles, including young individuals, elderly patients, cancer patients, and those with multiple comorbidities.
  • One key theme is pain management as an alternative to surgery or in situations where surgery is not feasible. The speaker presents examples where interventions like nerve freezing (cryoablation) and radiofrequency ablation have been used to provide long-lasting pain relief while preserving function. These techniques target specific nerves responsible for transmitting pain signals, offering a selective approach to pain management.
  • The presentation underscores the importance of accurate diagnosis and the potential for missed or unclear diagnoses to contribute to chronic pain. Cases are presented where simple diagnostic scans or injections led to the identification of previously overlooked sources of pain, allowing for targeted treatment and improved patient outcomes. The speaker emphasized the consideration of the abdominal wall as a potential pain generator.
  • The speaker addressed misconceptions surrounding chronic pain, such as the assumption that pain is an inevitable part of aging or that painkillers are inherently dangerous and addictive. They challenged the notion of "permanent solutions," suggesting that long-term pain management, rather than complete elimination, can significantly improve quality of life. The presentation also emphasized that it's not all medications when managing chronic pain and emphasized on using a multidisciplinary approach.
  • The importance of a multidisciplinary approach to chronic pain management is highlighted, involving not only pharmacological interventions but also psychological support and addressing individual patient factors. The speaker stresses the need to consider the holistic well-being of patients and to tailor treatment plans to their specific needs and circumstances. The lecture discussed the need for educating patients, so that they can prevent harmful treatments to themself.
  • The session also touched on regenerative medicine options like PRP and growth factor concentrates, noting the growing evidence supporting their use in certain conditions for lasting pain relief. While acknowledging regulatory constraints and the need for further research, the speaker expressed optimism about the potential of regenerative therapies in the future of pain management.

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