Therapeutic Interventions for Chronic Pain
Chronic pain affects nearly 100 milllion Americans. It is an emotional condition as well as a physical sensation, and is a complex experience that affects thought, mood and behavior and can lead to isolation, immobility and drug dependence. Pathophysiology of chronic pain is complex and involves various biopsychosocial factors.
Management of chronic pain is a multimodal and multispecialty approach. Providing multidisciplinary approach to pain improves quality and outcomes of patients. Successful outcomes could be attained by having a stepped-care approach. It includes use of pain medications such NSAIDS, membrane stabilizers/anticonvulsants, muscle relaxants, antidepressants, topicals and limited use of opioids. There are significant challenges of long-term opioid therapy for chronic pain. There is a paucity of evidence for their benefit. In addition, there is the associated risk of the development of tolerance, dependence, opioid induced hyperalgesia, and possible risk of effects on cognition, memory, mood, motivation, endocrine effects, and risk of cardio-respiratory depression.
Our nation is facing a crisis that is threating to engulf us. Since 1999, deaths due to prescription opioid overdoses have quadrupled and opioid prescriptions have increased markedly – almost enough for every adult in America to have a bottle of pills. Half of fatal opioid overdoses involve the concomitant use of sedative-hypnotics, particularly benzodiazepines. Their co-abuse is substantial and has negative consequences for general health, overdose lethality, and treatment outcomes. Agape Pain Management and Lifestyle Center physicians have taken a pledge along with other physicians across the country, under the leadership of United States Surgeon General, to turn the tide on the opioid crisis.
Interventional pain management including neuromodulatory techniques are important therapeutic options. Dr Pilla at Agape Pain Management and Lifestyle Center provides the latest and the up-to-date therapeutic interventions to treat a wide range of pain conditions. Physical therapy, psychotherapy, other adjunctive therapies and behavioral modifications including control of body weight, diet and regular exercise, are necessary to treat a patient pain for long term functional improvements.
Dr. Pilla’s training in three different specialties gives him a unique advantage to assess patient pain in a multidisciplinary approach. His focus is based on the following core pinciples:
- Aim: to help patients avoid invasive surgical procedures while providing drug free solutions to rehabilitate the area and provide long-term pain relief.
- Mission: to manage pain using state-of-the art medical techniques.
- Vision: to improve functional capacity through physical methods and his goal is to educate patients on behavior modification to help regain control over body and life.
- Commitment: to providing safe, thorough, responsible and comprehensive care by treating each patient with empathy, dignity, respect and conscientious medical care.
As a strong advocate for patients and the underprivileged, care and compassion are paramount under Dr. Pilla’s care. His unwavering devotion to the patient's needs, strong moral fiber and character as has been displayed most accurately in his two years of experience of working alongside Mother Teresa (Missionaries of Charity, Calcutta, India). These experiences will surely enhance the lives of the residents of Southern New Mexico.