Category: Frameworks of pain

Pelvic pain

Pain around the vagina, penis, anus, & buttock are often experienced by patients but seldom reported. Patients should know that this is a common problem that can often respond to comprehensive pain treatments by pelvic pain specialists. Pelvic pain Pelvic pain is experienced around the vagina, penis, scrotum, anus, & buttock. It can be worsened…

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Treating pain at nerve-body interface

Small sensory nerves throughout the body gather information & interact with the body directly. This nerve-body interface underlies many diseases. In chronic pain, nerves cause “neurogenic inflammation” by activating blood vessels, skin, & immune cells. This is the site of action of many pain treatments. Key nerve-body interfaces Neural-vascular: Sensory nerves open blood vessels. This…

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Breaking the cycles of pain

Patients with pain often feel that pain causes more pain. Pain is persistent and many treatments that seem at first effective stop working. Research shows Medications alone cannot break the pain cycles Injections alone cannot break the pain cycles Direct brain and nerve treatments are promising Interdisciplinary treatment is the only reliable treatment for chronic…

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Activating the brainstem to treat pain

Pain signals converge in the core of the brainstem where they deeply influence behavior. For checks & balances, the brainstem uses “descending inhibition” as a volume control to reduce pain. Pain physicians leverage this for treatment, via antidepressants, acupuncture, & meditation. Descending inhibition systems To keep pain signals from running out of control, the brainstem…

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Pain signal networks

Pain signal is sent from tissue to the brain. Once in the brain, the signal causes pain. At each stage of its transmission, pain signals are modified and interact with each other in the “pain signal network”. This network consists of 2 major components, in the body & in the brain. Chronic abdominal pain and…

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Early CRPS diagnosis & treatment

CRPS (complex regional pain syndrome) affects hands or feet after injuries or surgeries. The burning pain of CRPS is much harder to treat if not found early. CRPS detection & treatment should START NOW. A referral should be made to a board-certified Pain Medicine specialist, who can perform advanced procedures such as ketamine infusion, bisphosphonate…

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