We would like to discuss two recent articles from Painmedicine News, April 2017:
“The outlook for Pain Medicine: 2017 and Beyond”
“Patients Report Worse Outcomes with Higher Opioid Doses”
The opiate “epidemic” has been the headline once again for 2017. Both patient and practitioner should want to limit opiate use and abuse. A quote from the article, “people with high pain levels do not require higher opioid doses independent from the other factors.” These factors include underlying mental illness such as depression or anxiety, work related stresses or other medical conditions influencing pain perception. This quote is consistent with our practice experience. At New York Pain Medicine and Physical Therapy, we emphasize identifying an objective pain generator and focusing on the three treatment aspects of pain. Medication management delivered orally or via injection, physical therapy and mental health. Complimentary therapies including acupuncture and medical marijuana have also proven beneficial in our practice. Health insurance carriers will continue to crunch data regarding the treatment of acute and chronic pain to provide standardized protocols. Every patient situation is different and requires individual attention that may not coincide with protocol. We want to treat you, the individual and create a program satisfying your specific needs and goals.
Thirty three percent of people have a recurrence of low back pain within a year. Effective management of low back pain (LBP) depends on both the delivery of appropriate interventions during the initial episode and the identification and treatment of patients at a higher risk of recurrence. Physical therapy at New York Pain Medicine will focus not only on your recovery, but also on the prevention.
One out of 10 people in the United States experience persistent pain along the bottom of the foot, a condition known as plantar fasciitis. The guidelines present evidence that strongly suggests a combination of manual therapy and rehabilitative exercises to help patients with this foot condition. In a more recent study published in the February 2017 issue of JOSPT, researchers reviewed the records of people with plantar fasciitis who were sent to physical therapy. The results of this study support prior studies that show faster recovery time for those who receive evidence-based physical therapy for their foot pain.
At New York Pain Medicine and Physical Therapy we are dedicated to getting YOU better. Our team includes many different disciplines coordinated to provide the highest level of personalized care.
Douglas I. Allen, DO
Clinical Assistant Professor of Pain Medicine in Anesthesiology. Clinical Assistant Professor of Pain Medicine in Neurological Surgery, Weill Cornell Medical College.
Clinical Assistant Professor Department of Physical Medicine and Rehabilitation. Lenox Hill Hospital Northwell Health, Hofstra School of Medicine.