is a quick reference guide to pain treatments. When seeking
treatment options, consult with a pharmacist or physician for
one’s specific pain issue.
occasional visitor or the unwanted guest who refuses to leave,
cripples life. The good news is that Wisconsin’s health care
professionals are intent on stopping both.
specialists define pain and its effects in medical and everyday terms.
Dr. Dermott More-O’Ferrall, chief medical officer of Advanced Pain
Management in Greenfield; Dr. Nathan Rudin, medical director of the
UW-Madison Health Pain Treatment and Research Center; and Dr. Yechiel
Kleen, a ProHealth Care pyschiatrist in Waukesha, emphasize containing
acute, episodic pain before it becomes a debilitating, chronic
condition. "There are different types of pain, including a
stabbing, burning sensation and acute neuropathic that affects the
central nervous system," More-O’Ferrall says.
While Rudin says
the International Association for the Study for Pain identifies pain
in long form, he provides a simpler definition: "It is an
unpleasant sensation, and it is physical and emotional, which is just
as important and can be expressed in terms of tissue damage."
pain in terms of its effects. "It’s a subjective experience
impacting the body and mind," he says. "I always ask my
patients, ‘So what is this doing to your life?’"
physicians say, has changed dramatically over the past several
late 1980s, opiates — narcotics — were beginning to be used for
chronic pain," Rudin says. "In the 1990s, everyone was using
them, and they were overprescribed. Now, the pendulum is swinging back
(to not prescribing narcotics)."
evolved in approach, and more is on the horizon. Rudin points to
medicine looking at the healing factors of blood platelets, and More-O’Farrell
says Advanced Pain Management is part of a national study examining if
stem cell therapy is an effective pain treatment.
In any case, the
future of health care specialists helping pain sufferers may depend on
what modalities are recognized by payors.
ability to use a multidisciplinary approach is essential," Kleen
says. "For us to use the tools that are available, insurance
companies will need to support all of this."