Pain Relief Without Narcotics

Advanced Pain Management

Seminar Series

What we want you to learn from this seminar:

Types of pain The side effects of narcotics Principles of pain management Available treatment options & prevention

DISCLAIMER:This material is presented for informational and educational purposes only. This information does not constitute medical advice and is not intended to be a substitute for professional medical advice. You should always seek the advice of a physician or other qualified health care provider before beginning any exercise program. If you experience any pain or difficulty with these exercises, stop and consult your health care provider. ADVANCED PAIN MANAGEMENT MAKES NO WARRANTIES, EXPRESS OR IMPLIED, THAT THE INFORMATION CONTAINED IN THESE MATERIALS WILL MEET YOUR NEEDS.

NOCICEPTIVE PAINPain that is detected by sensory nerves, nociceptors, located throughout the soft tissues (skin, muscles, organs, etc.)

Protective – Mechanical, Chemical and Thermal (heat/cold)

From: Scholz J, Woolf C. Nat Neurosci 2002; 5(suppl 1):1062-1067

Minor tissue damage

Hot

Abrasive

Prick or Hit

Cold

INFLAMMATORY PAINPain that is a response to tissue damage or injury

From: Scholz J, Woolf C. Nat Neurosci 2002; 5(suppl 1):1062-1067

Response to significant tissue damage

NEUROPATHIC PAINPain that is caused by nerve damage or injury

From: Scholz J, Woolf C. Nat Neurosci 2002; 5(suppl 1):1062-1067

Peripheral or central nerve damage

Elements of Inflammatory Pain are seen

NSAIDs

Incidence: New Illicit Use of Rx Pain Relievers Has Surpassed New Illicit Use of Marijuana

*526,000 new nonmedical users of OxyContin®. Survey conducted by NSDUH and sponsored by SAMHSA

Pain Relievers*

Tranquilizers Cocaine Ecstasy LSD PCP

Marijuana Inhalants Stimulants Sedatives Heroin

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Side Effects of Narcotics• Drowsiness• Itching• Insomnia• Constricted pupils

• Constipation• Nausea• Vomiting • Possible respiratory

depression

Pain Management is not Opioid Dispensing

Contemporary Treatment Model

– Define source of pain and treat with minimally invasive therapies

– If no treatment available and the source is known consider medications

– Exhaust all non narcotic approaches

Important Notes• Over time, narcotics lose effectiveness due to built up tolerance

• Side effects become more pronounced with an increased dose

• Narcotic drugs have potential for abuse

Pain Prevention Tips You Can Use• Exercise• Strength training• Core Strengthening• Stretching• Pilates and Yoga• Quit Smoking• Maintain a healthy

weight• Sit with good posture• Lift with your legs, not

your back

eBooks available at www.apmhealth.com

Interventional Procedures To Reduce Pain

• Epidural Steroid Injections

• Facet Joint Injections• Selective Nerve Root Blo

cks• Radiofrequency Ablation• Trigger Point Injections• Intrathecal Pumps• Stims

Step-by-Step Procedure Animation is available on our website:

www.apmhealth.com

Pain Risk Factors• Smoking• Obesity• Older Age• Being Female• Physically Strenuous Work• Sedentary Work• Stress• Anxiety• Depression

Preparing for Your Appointment• Keep a pain diary (available at www.apmhealth.com)• Write down key personal and medical information• Make a list of your medications• Note any recent injuries• Write down any questions for your doctor

888.901.PAIN(7246) · www.apmhealth.com