Table Pain Relief

MD discussed with Dr. Kinsman the following: Assessment (1) The patient is somatically oriented; (2) The patient is getting some improvement regarding activity level and endurance/ergonomics with the current court of physical therapy, but the patient has very little understanding of functional management as a long-term strategy to manage her symptoms; (3) MD and Dr. Kinsman feel that the patient would likely be a good fit for the functional restoration program and deserves a one day evaluation for the functional restoration program.

I have integrated various holistic practices into my treatment plans including acupuncture, yoga, massage, meditation and prayer. I also discuss and recommend the importance of balance in our lives, which is a major philosophy of Ayurvedic Medicine, “balance between body, mind and spirit” (What is the philosophy, n.d.). I stress how healthy choices regarding diet, exercise and relationships can impact a patient’s physical, emotional and spiritual balance in their life.

On examination of the lumbar spine, range of motion is full in flexion and limited in extension. Lumbar facet loading maneuvers are positive.

In clinical practice a broad spectrum of therapy approaches is being used, ranging from pharmacological, physical agents to exercise and manual therapy practice.

The goals of this intervention were to decrease patient pain and disability as well as to increase range of motion. Affectiveness of treament was measured with multiple scales to account for both subjective and objective information. The patient was asked to subjectively rate his perceived pain and function. The examiner measured objective ROM, functional movement and special testings. The following are measures that were included:

When experiencing acute or severe low back to mid back pain that is preventing rest, the image to the left demonstrates two positions that may take the pressure off and reduce pain. Both of these are lying on the floor or a flat, firm surface with the knees bent and the neck supported, yet not hyper-flexed (chin close to or on the chest). The use of warm, moist heat is recommended over ice or cold. A cold pack on the lower back may increase sustained muscular contraction in effect increasing rather than decreasing pain.

Acupuncture is gaining popularity as numerous claims are being made to its validity and effectiveness. Although many studies and experiments regarding acupuncture have been done, the scientific basis of the principles of this alternative approach still remains unclear (http://www.health.org/pubs/acu-nih.htm).

The first 48 hours of pain analysis and treating the pain of the patient to the hospice (or end-of-life patient in any other stetting) are crucial. However, the patient may be unable to speak and articulate his pain, or may be able to inadequately express the symptoms. One of the major concerns for those who are at the end of life is

What is pain? Generally, it is an unpleasant sensory feeling that is triggered by the body's nervous system in response to an adverse affect and is often categorized as acute or chronic. Because of the many different aspects of pain, it varies from each individual. Experiences that may cause pain in one individual may or may not cause pain at the same level which makes this a highly subjective symptom. Previously, medical professionals relied solely on their patients report of pain. However, as time and medicine have evolved, pain has been incorporated into general patient assessments and has further been referred to as the fifth vital sign,

Select individuals may suffer from neurological symptoms resulting in the inability to work and participate in leisure activities

In doing so, endorphins are released which lessen stress and return the entire body to balance. The goal of massage therapy is to relieve stress and muscle tension and increase the functioning of the body and furthermore release tight muscle tissue, alleviate discomfort from cramps and muscle spasms, improve range of motion, improve muscle tone, reinforce muscle groups, decreasing recovery time from an injury, remove harmful poisons which can damage the body, relieve pain from carpal tunnel syndrome, bronchial asthma, arthritis and headache and joint pain. Research has discovered that massage therapy can even reduce blood pressure, calm the body and reduce the consequences of stress, depression and anxiety while delivering a better feeling of general well being, improving the ability to completely focus and get a much better night sleep. In addition to direct manipulation of different body parts, bodywork consists of techniques to evaluate or improve healthy posture, and encourage awareness of the mind-body interconnection. As with several alternative medicine techniques, bodywork may be used to take care of a very wide range of ailments. Typically, it performs exceptionally well at those which involve physical pain or structural misalignments. The nervous and circulatory systems of the entire body are essential in promoting wellness and well being as well as curing disease and bodywork has the potential to significantly boost the functioning of these

Chronic Pain is an interesting problem in society today. The exact cause of Chronic Pain is not the same in every patient. In fact most patients present with different symptoms and associated pathologies, such as the strong link with depression. Treatment of Chronic Pain is often performed a single practitioner whether that be a Medical Doctor, Chiropractor, Nutritionist, or an alternative health care professional. Chronic Pain is often extremely complex, because of this treatment needs to be multidimensional. Effective care of Chronic Pain requires the collective cooperation of health care professionals

Effective pain control is a key component when caring for a patient in the acute care setting. Knowing the patients pain level and if they are experiencing pain you must have them describe it. This is to ensure that it will be treated appropriately. Although, there are many interventions that can take place including pharmaceutical and alternative non-pharmaceutical measures. There are several barriers that can get in the way of the patient receiving the correct care for their pain. These barriers can be related to the health care system, the providing professional of the patients, their families or community.

According to Trail-Mahan et al., (2016), there are several obstacles to successful pain management such as irresponsible behavior, imprecise, inadequate repeated assessments, and inadequate analgesics dispensation execution and inefficient communication between nurses and patients and mostly among nurses mostly at change of shift. Lack of education among healthcare workers about proper pain medication dosing and unjustified worry about controlled substance addiction lead to poor pain administration. Patients may not have any understanding of the pain scale or sometimes they are afraid to report pain. However, because of the lack of education, patients may ask for pain medication when the pain is very severe and the medication is not enough to take care of the pain. Also, sometimes their fear of dependency is greater than their fear of the pain they are in. As

The goal as health care providers is to promote wellness and help a patient to an optimal level of functioning. However, for a patient to receive their optimal level of functioning the pain should also stay at a consistently favorable level for the individual patient. Pain management is a major component of a patients well-being.